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Survey about cleaning, doctor, playstation 2, cooking, pillow and sky-diving.

Begin Survey

1. Do you use charge cards? Yes No

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

3. Do you run the vacuum (or sweep) your floors every day? Yes No

4. Do you own a first aid kit? Yes No

5. Do you know your cholesterol level? Yes No

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Do you enjoy watching cooking shows? Yes No

8. Do you enjoy roller coasters? Yes No

9. Do you have any phobias? Yes No

10. Will you attend a college sporting event this month? Yes No

11. Are you currently attending college or taking adult enrichment classes? Yes No

12. Do you sleep with a pillow at night? Yes No

13. Do you believe in Santa Claus? Yes No

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

15. Did you vote in the last Presidential election? Yes No

16. Do you believe in miracles? Yes No

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

18. Do you have any houseplants? Yes No

19. Do you enjoy Girl Scout cookies? Yes No

20. Do you wear mittens? Yes No

21. 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: - Leonardo da Vinci was dyslexic. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Most dreams last only 5 to 20 minutes. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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