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Survey about americans, mountain climbing, roller coasters, jimmy hoffa, family and medications.

Begin Survey

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

2. Do you have a sit-down family dinner every night? Yes No

3. Do you enjoy watching cooking shows? Yes No

4. Do you like peanut butter and jelly sandwiches? Yes No

5. Do you have a VCR? Yes No

6. Do your children attend public schools? Yes No

7. Do you own a motorcycle? Yes No

8. Do you enjoy roller coasters? Yes No

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

10. Have you ever gotten a traffic ticket? Yes No

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

12. Did you vote in the last Presidential election? Yes No

13. Do you follow a vegetarian diet? Yes No

14. Do you feel Americans file too many frivolous lawsuits? Yes No

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

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

17. Will you engage in rigorous physical activity at least three times this week? Yes No

18. 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: - Jimmy Hoffa's middle name is Riddle. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - In Washington D.C., no building may be built taller than the Washington Monument.

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