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Survey about airplanes, speed limit, cappuccino, night, health and mud puddles.

Begin Survey

1. Do you own a gun? Yes No

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

3. Do you enjoy reality television? Yes No

4. Have you ever been less than honest on your income tax return? Yes No

5. Will you ride on a bus this week? Yes No

6. Do you always drive within the posted speed limit? Yes No

7. Do you splash in mud puddles? Yes No

8. Do you plan on taking a trip by airplane this week? Yes No

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

10. Do you have a checking account? Yes No

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

12. Do you own at least one pair of blue jeans? Yes No

13. Will you take any train or subway rides this week? Yes No

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

15. Do you get between 7 to 10 hours of sleep each night? Yes No

16. Have you ever been tested for HIV? 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - Coca-Cola was the first soft drink to be consumed in outer space. - Most dreams last only 5 to 20 minutes. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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