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Survey about 100 years, cigarettes, theodore roosevelt, cars, music and first aid.

Begin Survey

1. Do you own a first aid kit? Yes No

2. Do you contribute money to any charitable organizations? Yes No

3. Do you plan on visiting a mall this week? Yes No

4. Do you keep an umbrella in your car? Yes No

5. Are your parents still married? Yes No

6. Do you smoke cigarettes? Yes No

7. Did you graduate from high school? Yes No

8. Will you visit a doctor this week? Yes No

9. Do you ever download music from the Internet? Yes No

10. Do you own a pair of fuzzy bunny slippers? Yes No

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

12. Do you plan on performing any community service this week? Yes No

13. 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: - Theodore Roosevelt was blind in his left eye. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - 80% of people over 100 years old are women. - The swimming pool at the Biltmore Hotel in Coral Gables, Florida is the largest in the continental United States. It covers a half acre and holds 600,000 gallons of water.

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