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Survey about traffic tickets, democracy, trips, stem cells, guns and xbox.

Begin Survey

1. Do you know your cholesterol level? Yes No

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

3. Do you have any camping trips planned for this summer? Yes No

4. Do you use mouthwash? Yes No

5. Have you ever gotten a traffic ticket? Yes No

6. Did you graduate from high school? Yes No

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

8. Do you own a gun? Yes No

9. Are you a registered voter? Yes No

10. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

11. Do your children attend public schools? Yes No

12. Will you engage in rigorous physical activity at least three times this week? Yes No

13. Will you buy plants or flowers from a florist this week? Yes No

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

15. Do you enjoy card games? Yes No

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

17. Have you ever been less than honest on your resume? Yes No

18. Do you have any piercings? Yes No

19. Do you enjoy reality television? Yes No

20. 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. - Approximately 3 billion pizzas are sold in the U.S. each year. - The human brain stops growing at the age of 18. - The Great Wall stretches for about 4,500 miles across North China.

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