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Survey about lotteries, coffee, national parks, jelly, winter and theme parks.

Begin Survey

1. Do you know CPR? Yes No

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

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

4. Did you graduate from high school? Yes No

5. Have you ever had a professional massage? Yes No

6. Do you plan on taking a trip by airplane this week? Yes No

7. Have you ever won the lottery? Yes No

8. Are your parents still married? Yes No

9. Do you know how to fly an airplane? Yes No

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

11. Do you think you are physically attractive? Yes No

12. Do you get a flu shot every winter? Yes No

13. Will you ride on a bus this week? Yes No

14. Do you have any piercings? Yes No

15. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

16. Are any of your grandparents still alive? Yes No

17. Do you plan to visit any U.S. National Parks this year? Yes No

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

19. Do you enjoy Girl Scout cookies? Yes No

20. 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: - Michale Keaton's original name is Michael Douglas. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - Women blink nearly twice as much as men. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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