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Survey about umbrella, gamecube, employment, console, cars and chewing tobacco.

Begin Survey

1. Are you satisfied in your current employment? Yes No

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

3. Should government employees be randomly tested for illicit drug use? Yes No

4. Do enjoy reading or writing poetry? Yes No

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

6. Do you own a Bible, Koran, or other religious book? Yes No

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

8. Have you ever been in a car accident? Yes No

9. Have you ever been tested for HIV? Yes No

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

11. Do you have road rage? Yes No

12. Do you use chewing tobacco? Yes No

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

14. Do you plan on visiting the public library this week? Yes No

15. Have you graduated from (or finished) college? Yes No

16. Do you own or use a digital camera? Yes No

17. Do you sleep with a pillow at night? Yes No

18. Do you enjoy gambling? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Apples are a member of the rose family. - Only 1 person in 2 billion will live to be 116. - The Sears Tower in Chicago has its own zip code.

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