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Survey about destiny, bungee-jumping, jelly, peanut butter, hands and medications.

Begin Survey

1. Do you own a motorcycle? Yes No

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

3. Are you left-handed? Yes No

4. Do you enjoy roller coasters? Yes No

5. Do you enjoy spicy foods? Yes No

6. Do you wear sandals/flip-flops in the summer? Yes No

7. Do you enjoy Girl Scout cookies? Yes No

8. Do you subscribe to your local newspaper? Yes No

9. Do you believe in destiny or fate? Yes No

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

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

12. Do you have children? Yes No

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

14. Do you own your own business or work for yourself? Yes No

15. Will you travel outside of the U.S. this year? Yes No

16. Do you have a savings account? Yes No

17. Do you watch the evening news? Yes No

18. Do you have any phobias? Yes No

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

20. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Headache pain can be reduced by eating 20 tart cherries. - Most dreams last only 5 to 20 minutes. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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