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Survey about theodore roosevelt, suv, lottery tickets, internet access, cholesterol and sears tower.

Begin Survey

1. Do you plan to visit any U.S. National Parks this year? Yes No

2. Will you buy a lottery ticket this week? Yes No

3. Do you know your cholesterol level? Yes No

4. Have you ever traveled by airplane? Yes No

5. Do you wear mittens? Yes No

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

7. Do you smoke cigarettes? Yes No

8. Do you enjoy science fiction/fantasy movies? Yes No

9. Do you use mouthwash? Yes No

10. Do you have Internet access at home? Yes No

11. Do you own or drive an SUV or large truck? Yes No

12. Will you consume any alcoholic beverages this weekend? Yes No

13. Do you ever download music from the Internet? Yes No

14. Do you enjoy Girl Scout cookies? Yes No

15. Do you brush your teeth after lunch? Yes No

16. Have you ever had a professional massage? Yes No

17. 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: - Theodore Roosevelt was blind in his left eye. - Lima beans contain cyanide. - The average American consumes 9 pounds of food additives every year. - The Sears Tower in Chicago has its own zip code.

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