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Survey about cookies, coffee substitute, musical instruments, contact lenses, download and golden gate bridge.

Begin Survey

1. Will you be visiting any theme parks this year? Yes No

2. Do you enjoy Girl Scout cookies? Yes No

3. Do you like chocolate? Yes No

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

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

6. Do you brush your teeth before bed each night? Yes No

7. Do you play any musical instruments? Yes No

8. Do you belong to any professional organizations? Yes No

9. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

11. Have you ever responded to a personals ad? Yes No

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

13. Will you be taking any road trips this week (over 50 miles)? Yes No

14. Do you wear glasses/contacts? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Dandelion root can be roasted and ground as a coffee substitute. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The Golden Gate Bridge was first opened in 1937.

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