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Survey about cars, chewing tobacco, retirement, mud puddles, human heart and insurance.

Begin Survey

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

2. Do you shower at least once daily? Yes No

3. Will you attend religious services this week? Yes No

4. Do you believe in miracles? Yes No

5. Have you ever borrowed money from a relative? Yes No

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

7. Do you own or use a digital camera? Yes No

8. Do you use chewing tobacco? Yes No

9. Have you ever placed a personals ad? Yes No

10. Do you belong to a credit union? Yes No

11. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

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

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

14. Do you splash in mud puddles? Yes No

15. Do you like peanut butter and jelly sandwiches? Yes No

16. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

17. Do you think you are intelligent? Yes No

18. Have you ever eaten rattlesnake meat? Yes No

19. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - 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. - 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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