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Survey about television, night clubs, disasters, bubble baths, contact lenses and reading.

Begin Survey

1. Do you enjoy hot bubble baths? Yes No

2. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

3. Do you enjoy reality television? Yes No

4. Do you have cable or satellite television? Yes No

5. Do you ever use a tanning bed? Yes No

6. Do you follow a vegetarian diet? Yes No

7. Do you like peanut butter and jelly sandwiches? Yes No

8. Have you ever been in a car accident? Yes No

9. Do you read the comics? Yes No

10. Will you go to a bar or night club this week? Yes No

11. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

12. Have you ever participated in a focus group? Yes No

13. Do you own a gun? Yes No

14. Will you attend religious services this week? Yes No

15. Do enjoy reading or writing poetry? Yes No

16. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - The average American drinks 25 gallons of milk per year. - Neanderthal man had a brain capacity 100cc larger than modern man. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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