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Survey about travel, coffeine, phones, grandparents, lottery tickets and money.

Begin Survey

1. Have you ever been arrested? Yes No

2. Have you ever taken dance lessons? Yes No

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

4. Are any of your grandparents still alive? Yes No

5. Will you travel outside of the U.S. this year? Yes No

6. Do you brush your teeth each morning? Yes No

7. Do you wear sunscreen every day? Yes No

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

9. Do you ever use a tanning bed? Yes No

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

11. Do you listen to the radio in the car? Yes No

12. Do you enjoy ethnic foods? Yes No

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

14. Will you rent a DVD or video this weekend? Yes No

15. Do you have health insurance? Yes No

16. Have you ever spent more than $100 on a pair of shoes? Yes No

17. Do you have a swimming pool? Yes No

18. 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The Great Wall stretches for about 4,500 miles across North China.

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