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Survey about disasters, parents, mouthwash, comics, statue of liberty and soft drinks.

Begin Survey

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

2. Do you read the comics? Yes No

3. Have you ever been less than honest on your income tax return? Yes No

4. Do you use mouthwash? Yes No

5. Do you have children? Yes No

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

7. Will you go to the grocery store this week? Yes No

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

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

10. Are your parents still married? Yes No

11. Do you own or use a digital camera? Yes No

12. Do you believe in Santa Claus? Yes No

13. Do you drink diet soda? Yes No

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

15. Did you drink coffee this morning? Yes No

16. 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: - Albert Einstein never wore any socks. - Coca-Cola was the first soft drink to be consumed in outer space. - A sneeze travels at 100 miles per hour. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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