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Survey about vcr, coca-cola, children, sleep, xbox and playstation 2.

Begin Survey

1. Do your children attend public schools? Yes No

2. Do you believe in miracles? Yes No

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

4. Do you play any musical instruments? Yes No

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

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

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

8. Do you ever dye your hair? Yes No

9. Do you attend regular religious services? Yes No

10. Have you ever broken any bones? Yes No

11. Do you have a VCR? Yes No

12. Will you visit a doctor this week? Yes No

13. Do you have or use a PDA (Personal Digital Assistant)? Yes No

14. Do you have or use an MP3 player? Yes No

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

16. Do you get between 7 to 10 hours of sleep each night? Yes No

17. Have you ever been less than honest on your income tax return? 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: - Leonardo da Vinci invented scissors. - Coca-Cola was the first soft drink to be consumed in outer space. - Each year, more than 2,500 left-handed people are killed by using products made for right-handed people. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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