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Survey about busses, bed, honey, siblings, car accidents and roller coasters.

Begin Survey

1. Do you have a DVD player? Yes No

2. Will you ride on a bus this week? Yes No

3. Do you enjoy roller coasters? Yes No

4. Should government employees be randomly tested for illicit drug use? Yes No

5. Have you ever been in a car accident? Yes No

6. Have you ever been rock or mountain climbing? Yes No

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

8. Do you ever use a tanning bed? Yes No

9. Do you have any phobias? Yes No

10. Will you take any train or subway rides this week? Yes No

11. Have you ever spent a day at a spa? Yes No

12. Do you have a sit-down family dinner every night? Yes No

13. Have you ever taken dance lessons? Yes No

14. Do you have any siblings? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Honey is the only food that will not spoil. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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