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Survey about jackie kennedy, health, smoking, bungee-jumping, internet access and mud puddles.

Begin Survey

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

2. Do you wear cologne or perfume every day? Yes No

3. Are you involved in volunteerism? Yes No

4. Do you smoke cigarettes? Yes No

5. Do you have Internet access at home? Yes No

6. Will you visit a beauty salon this week? Yes No

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

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

9. Do you attend regular religious services? Yes No

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

11. Do you splash in mud puddles? Yes No

12. Do you eat lunch every day? Yes No

13. Do you listen to the radio in the car? Yes No

14. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Dandelion root can be roasted and ground as a coffee substitute. - 80% of people over 100 years old are women. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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