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Survey about trains, cholesterol, reading, jail, traffic tickets and children.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

2. Do you have a land-line phone in your home? Yes No

3. Do you own at least one pair of blue jeans? Yes No

4. Do you attend regular religious services? Yes No

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

6. Do you have children? Yes No

7. Do enjoy reading or writing poetry? Yes No

8. Will you take any train or subway rides this week? Yes No

9. Do you enjoy independent films? Yes No

10. Do you know your cholesterol level? Yes No

11. Have you ever been arrested? Yes No

12. Do you have a savings account? Yes No

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

14. Do you own a pair of fuzzy bunny slippers? Yes No

15. Do you have any tattoos? Yes No

16. Do you believe in Santa Claus? Yes No

17. Are you involved in volunteerism? Yes No

18. Do you own or drive an SUV or large truck? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The average American eats approximately 20 pounds of pasta each year. - During their lifetime, the average human will grow 590 miles of hair. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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