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Survey about bungee-jumping, beats, mittens, jackie kennedy, cellular phones and human heart.

Begin Survey

1. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

2. Do you use chewing tobacco? Yes No

3. Will you balance your checkbook this week? Yes No

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

5. Do you drink diet soda? Yes No

6. Will you attend a professional sporting event this month? Yes No

7. Do you have road rage? Yes No

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

9. Do you have a VCR? Yes No

10. Would you consider yourself to be in good overall health? Yes No

11. Have you ever taken dance lessons? Yes No

12. Do you enjoy cat-naps? Yes No

13. Do you have or use a cellular phone? Yes No

14. Do you take a daily multi-vitamin? Yes No

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

16. Do you wear mittens? Yes No

17. Have you ever been the target of identity theft? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The coconut is the largest seed in the world. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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