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Survey about bungee-jumping, health, drugs, morning, traffic tickets and pets.

Begin Survey

1. Do you eat breakfast every morning? Yes No

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

3. Do you enjoy Girl Scout cookies? Yes No

4. Do you plan to visit any U.S. National Parks this year? Yes No

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

6. Do you believe there is life on other planets? Yes No

7. Do you practice yoga? Yes No

8. Do you own a boat, camper, or other recreational vehicle? Yes No

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

10. Do you have health insurance? Yes No

11. Do you have any pets? Yes No

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

13. Will you visit a therapist or psychiatrist this week? Yes No

14. Are you involved in volunteerism? Yes No

15. 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: - Isaac Asimov is the only author to have a book in every Dewey-decimal category. - The average French citizen eats 500 snails per year. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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