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Survey about cigarettes, driving, download, sharks, houdini and travel.

Begin Survey

1. Do you think you are intelligent? Yes No

2. Can you drive a stick shift? Yes No

3. Do you have a savings account? Yes No

4. Do you plan on visiting the public library this week? Yes No

5. Do you watch the evening news? Yes No

6. Do you enjoy roller coasters? Yes No

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

8. Do you own a motorcycle? Yes No

9. Will you be staying at a hotel this week? Yes No

10. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

11. Do you know CPR? Yes No

12. Do you ever download movies from the Internet? Yes No

13. Do you smoke cigarettes? Yes No

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

15. Are you a registered voter? Yes No

16. Have you ever pilfered office supplies from work? Yes No

17. Do you splash in mud puddles? 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: - Houdini was the first man to fly a plane solo in Australia. - Almonds are a member of the peach family. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The Sears Tower in Chicago has its own zip code.

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