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Survey about tombstone, cable, bars, fast food, money and theme parks.

Begin Survey

1. Will you ride on a bus this week? Yes No

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

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

4. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

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

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Do you contribute money to any charitable organizations? Yes No

8. Do you enjoy classical music? Yes No

9. Are you currently attending college or taking adult enrichment classes? Yes No

10. Did you drink coffee this morning? Yes No

11. Do you have a VCR? Yes No

12. Will you be visiting any theme parks this year? Yes No

13. Are you married? Yes No

14. Have you eaten fast food this week? Yes No

15. Have you ever traveled by airplane? Yes No

16. Do you have a valid passport? Yes No

17. Do you splash in mud puddles? Yes No

18. Do you sing in the shower? Yes No

19. 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: - Andrew Jackson’s tombstone does not mention that he served as the president of the United States. - At one time, pumpkins were recommended for removing freckles. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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