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Survey about blue eyes, smoking, capitol building, health insurance, medications and theater.

Begin Survey

1. Do you have road rage? Yes No

2. Do you own a motorcycle? Yes No

3. Do you enjoy reality television? Yes No

4. Do you smoke cigarettes? Yes No

5. Are you involved in volunteerism? Yes No

6. Do you enjoy roller coasters? Yes No

7. Do you enjoy cat-naps? Yes No

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

9. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

10. Do you have children? Yes No

11. Are you married? Yes No

12. Do you have health insurance? Yes No

13. Will you see a play this month? Yes No

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

15. Do you know CPR? Yes No

16. Did you drink coffee this morning? Yes No

17. Do you have cable or satellite television? Yes No

18. Do you wear mittens? Yes No

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

20. Do you enjoy science fiction/fantasy movies? Yes No

21. 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - The average American eats approximately 20 pounds of pasta each year. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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