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Survey about wheat, flowers, business, safety belt, vegetables and mountain climbing.

Begin Survey

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

2. Will you visit a casino this week? Yes No

3. Do you take any prescribed daily medications? Yes No

4. Do you belong to any professional organizations? Yes No

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

6. Do you own your home? Yes No

7. Do you enjoy hot bubble baths? Yes No

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

9. Have you ever spent more than $100 on a pair of shoes? Yes No

10. Do you belong to a credit union? Yes No

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

12. Have you ever responded to a personals ad? Yes No

13. Do you brush your teeth before bed each night? Yes No

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

15. Do you own your own business or work for yourself? Yes No

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

17. Do you read your horoscope every day? Yes No

18. Do you use charge cards? Yes No

19. Do you own a motorcycle? Yes No

20. 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: - 20252 is Smokey the Bear's own zip code. - Americans eat an average of 18 pounds of fresh apples each year. - The United States produces more tobacco than it does wheat. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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