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Survey about born, delivery food, malls, disasters, sky-diving and pillow.

Begin Survey

1. Do you fly an American flag at home? Yes No

2. Will you order take-out or delivery food from a restaurant this week? Yes No

3. Do enjoy reading or writing poetry? Yes No

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

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

6. Do you use online banking? Yes No

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

8. Do you sleep with a pillow at night? Yes No

9. Have you ever been arrested? Yes No

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

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

12. Are your immunizations up-to-date? Yes No

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

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

15. Do you brush your teeth after lunch? Yes No

16. Do you have or use a cellular phone? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Americans eat an average of 18 pounds of fresh apples each year. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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