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Survey about night, religion, luggage, coffee, sandwiches and family tree.

Begin Survey

1. Do you follow a low-carb diet? Yes No

2. Do you use a dishwasher to do your dishes? Yes No

3. Do you attend regular religious services? Yes No

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

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

6. Are you satisfied in your current employment? Yes No

7. Do you have children? Yes No

8. Have you ever traced your family tree? Yes No

9. Will you be taking any road trips this week (over 50 miles)? Yes No

10. Do you belong to any professional organizations? Yes No

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

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

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

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

15. Do you own a dictionary and/or thesaurus? Yes No

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

17. Do you own a matching set of luggage? Yes No

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

19. 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: - Betsy Ross was born with a fully formed set of teeth. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Between 25% to 33% of people sneeze when they are exposed to light. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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