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Survey about falling coconuts, phones, music, console, cars and health.

Begin Survey

1. Do you have any food allergies? Yes No

2. Are any of your grandparents still alive? Yes No

3. Do you keep an umbrella in your car? Yes No

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

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

6. Would you consider yourself to be in good overall health? Yes No

7. Do you own or drive an SUV or large truck? Yes No

8. Do you think you are intelligent? Yes No

9. Do you wear a watch every day? Yes No

10. Do you enjoy reality television? Yes No

11. Can you whistle? Yes No

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

13. Have you ever spent a day at a spa? Yes No

14. Will you ride on a bus this week? Yes No

15. Do you have a land-line phone in your home? Yes No

16. Do you have a savings account? Yes No

17. Will you rent a DVD or video this weekend? Yes No

18. Do you have any tattoos? Yes No

19. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? 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: - Houdini was the first man to fly a plane solo in Australia. - The average American drinks 25 gallons of milk per year. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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