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Survey about checking account, bungee-jumping, presidents, thesaurus, cooking and coffeine.

Begin Survey

1. Do you have a swimming pool? Yes No

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

3. Will you use a coupon for any of your purchases this week? Yes No

4. Do you enjoy cooking or baking? Yes No

5. Do you own a Bible, Koran, or other religious book? Yes No

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

7. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

8. Do your children attend public schools? Yes No

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

10. Do you own a dictionary and/or thesaurus? Yes No

11. Do you ever download music from the Internet? Yes No

12. Do you have any houseplants? Yes No

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

14. Can you drive a stick shift? Yes No

15. Do you listen to talk radio? Yes No

16. Do you have a checking account? Yes No

17. 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - More people have a phobia of frogs than rats. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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