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Survey about jelly, sky-diving, teeth, casinos, bungee-jumping and dance lessons.

Begin Survey

1. Do you brush your teeth before bed each night? Yes No

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

3. Will you order take-out or delivery food from a restaurant this week? Yes No

4. Will you visit a casino this week? Yes No

5. Do you own your home? Yes No

6. Are you involved in volunteerism? Yes No

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

8. Do you have any phobias? Yes No

9. Are your immunizations up-to-date? Yes No

10. Do you enjoy ethnic foods? Yes No

11. Do you enjoy gambling? Yes No

12. Will you visit a doctor this week? Yes No

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

14. Do you take a bagged lunch to work every day? Yes No

15. Have you ever taken dance lessons? Yes No

16. Do you splash in mud puddles? Yes No

17. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

18. 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: - Cleopatra wasn't Egyptian; she was Greek. - Peanuts are one of the ingredients in dynamite. - After the age of 35, about 1 in 27 women will give birth to twins. After 50, the chances of having twins is 1 in 9. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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