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Survey about traffic tickets, lunch, nevada, heart rate, umbrella and diet soda.

Begin Survey

1. Will you be staying at a hotel this week? Yes No

2. Do you believe there is life on other planets? Yes No

3. Are you married? Yes No

4. Do you wear glasses/contacts? Yes No

5. Do you give your children a daily multi-vitamin? Yes No

6. Do you always wear your safety belt when in a car? Yes No

7. Do you enjoy playing video games? Yes No

8. Do you drink diet soda? Yes No

9. Do you feel Americans file too many frivolous lawsuits? Yes No

10. Do you own your home? Yes No

11. Do you think you are intelligent? Yes No

12. Have you ever placed a personals ad? Yes No

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

14. Do you shower at least once daily? Yes No

15. Do you keep an umbrella in your car? Yes No

16. Do you enjoy gambling? Yes No

17. Do you eat lunch every day? Yes No

18. Have you ever gotten a traffic ticket? 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: - Theodore Roosevelt was blind in his left eye. - Lemons contain more sugar than strawberries. - Your heart rate can rise as much as 30% during a yawn. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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