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Survey about video games, psychiatrists, safety belt, documentary films, console and bed.

Begin Survey

1. Do you have any pets? Yes No

2. Have you ever been arrested? Yes No

3. Do you enjoy playing video games? Yes No

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

5. Do you enjoy documentary films? Yes No

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

7. Do you ever use a tanning bed? Yes No

8. Will you use a coupon for any of your purchases this week? Yes No

9. Do you plan on visiting a comedy club this month? Yes No

10. Have you ever broken any bones? Yes No

11. Do you have any houseplants? Yes No

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

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

14. Do you have any food allergies? Yes No

15. 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: - John F. Kennedy is the only U.S president to win a Pulitzer Prize. - Nutmeg is extremely poisonous if injected intravenously. - The average person falls asleep in seven minutes. - Central Park (in New York City) has 125 drinking fountains.

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