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Survey about vehicle, cocaine, playstation 2, latte, religion and drugs.

Begin Survey

1. Can you whistle? Yes No

2. Do you own a boat, camper, or other recreational vehicle? Yes No

3. Do you enjoy hot bubble baths? Yes No

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

5. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Have you ever gone sky-diving or bungee-jumping? Yes No

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

9. Do you fly an American flag at home? Yes No

10. Do you believe in miracles? Yes No

11. Do you attend regular religious services? Yes No

12. Will you visit a therapist or psychiatrist this week? Yes No

13. Do you enjoy reality television? Yes No

14. Do you eat breakfast every morning? Yes No

15. Do you enjoy playing video games? Yes No

16. Do you enjoy gambling? Yes No

17. Do you enjoy classical music? Yes No

18. Do you ever dye your hair? 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: - Ralph Lauren's original name is Ralph Lifshitz. - Blueberries have more antioxidants than any other fruit or vegetables. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The Golden Gate Bridge was first opened in 1937.

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