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Survey about koran, books, family, walt disney, bible and retirement.

Begin Survey

1. Will you be visiting any theme parks this year? Yes No

2. Have you ever been less than honest on your income tax return? Yes No

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

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

5. Have you ever been rock or mountain climbing? Yes No

6. Have you ever taken dance lessons? Yes No

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

8. Do you have a checking account? Yes No

9. Do you own a Bible, Koran, or other religious book? Yes No

10. Do you own a gun? Yes No

11. Do you have a sit-down family dinner every night? Yes No

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

13. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Americans eat an average of 18 pounds of fresh apples each year. - Babies are born without knee caps. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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