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Survey about vegetables, rattlesnake, disasters, charge cards, safety belt and france.

Begin Survey

1. Have you ever been rock or mountain climbing? Yes No

2. Do you enjoy reality television? Yes No

3. Have you ever won the lottery? Yes No

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

5. Have you ever pilfered office supplies from work? Yes No

6. Do you have children? Yes No

7. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

8. Have you ever eaten rattlesnake meat? Yes No

9. Do you wear mittens? Yes No

10. Do you use charge cards? Yes No

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

12. Do you smoke cigarettes? Yes No

13. Do you subscribe to your local newspaper? Yes No

14. Will you plant a vegetable and/or flower garden this year? Yes No

15. Do you like chocolate? Yes No

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

17. Did you drink coffee this morning? Yes No

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

19. Do you enjoy hot bubble baths? Yes No

20. Do you enjoy television police/crime dramas? Yes No

21. 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - The average French citizen eats 500 snails per year. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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