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Survey about video games, parents, beans, lunch, drugs and teeth.

Begin Survey

1. Do you plan to visit the zoo this year? Yes No

2. Do you eat lunch every day? Yes No

3. Will you be taking any road trips this week (over 50 miles)? Yes No

4. Do you believe in miracles? Yes No

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

6. Do you enjoy playing video games? Yes No

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

8. Do you work outside of the home? Yes No

9. Do you think you are intelligent? Yes No

10. Are your parents still married? Yes No

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

12. Do you like chocolate? Yes No

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

14. Do you use a dishwasher to do your dishes? Yes No

15. Do you have any tattoos? Yes No

16. Do you enjoy hot bubble baths? Yes No

17. 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: - Mr. Rogers was an ordained minister. - Lima beans contain cyanide. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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