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Survey about homes, religious services, disasters, cars, bungee-jumping and water.

Begin Survey

1. Do you work outside of the home? Yes No

2. Are you a registered voter? Yes No

3. Do you own a motorcycle? Yes No

4. Have you ever gotten a traffic ticket? Yes No

5. Do you use charge cards? Yes No

6. Will you attend religious services this week? Yes No

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

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

9. Do you own a matching set of luggage? Yes No

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

11. Do you attend regular religious services? Yes No

12. Have you ever been the target of identity theft? Yes No

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

14. Have you ever been less than honest on your resume? Yes No

15. Do you play any musical instruments? Yes No

16. Do you drink enough water (6 8-ounce glasses) every day? Yes No

17. Do you have any camping trips planned for this summer? Yes No

18. Do you suffer from seasonal allergies? Yes No

19. Do you own your home? Yes No

20. Will you engage in rigorous physical activity at least three times this week? 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Coca-Cola was the first soft drink to be consumed in outer space. - A blink lasts approximately 0.3 seconds. - The Golden Gate Bridge was first opened in 1937.

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