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Survey about jail, cooking, safety belt, tornados, roller-skating and corn.

Begin Survey

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

2. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

3. Do you give your children a daily multi-vitamin? Yes No

4. Do you enjoy gambling? Yes No

5. Do you enjoy cooking or baking? Yes No

6. Do you take a daily multi-vitamin? Yes No

7. Do you listen to talk radio? Yes No

8. Do you always wear your safety belt when in a car? Yes No

9. Do you plan on performing any community service this week? Yes No

10. Are your parents still married? Yes No

11. Will you see a play this month? Yes No

12. Do you own a motorcycle? Yes No

13. Have you ever been arrested? Yes No

14. Do you contribute money to any charitable organizations? Yes No

15. Do you read your horoscope every day? Yes No

16. Do you have a valid passport? Yes No

17. 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: - Napoleon constructed his battle plans in a sandbox. - Ears of corn always have an even number of rows of kernels. - You are more likely to get attacked by a cow than a shark. - The State of Louisiana was named after the French King Louis XIV.

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