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Survey about bungee-jumping, lunch, sky-diving, health, national parks and pittsburgh.

Begin Survey

1. Do you eat lunch every day? Yes No

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

3. Do you suffer from seasonal allergies? Yes No

4. Have you ever broken any bones? Yes No

5. Do you belong to a labor union? Yes No

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

7. Do you enjoy playing video games? Yes No

8. Do you wear mittens? Yes No

9. Do you have a checking account? Yes No

10. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

11. Do you enjoy watching cooking shows? Yes No

12. Will you go to a concert this week? Yes No

13. Are you involved in volunteerism? Yes No

14. Do you attend regular religious services? Yes No

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

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

17. Did you vote in the last Presidential election? 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: - Andrew Jackson’s tombstone does not mention that he served as the president of the United States. - Nutmeg is extremely poisonous if injected intravenously. - 15% of Americans secretly bite their toes. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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