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Survey about oil tycoon, seed, coconuts, books, first aid and democracy.

Begin Survey

1. Do you believe in destiny or fate? Yes No

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

3. Are you a registered voter? Yes No

4. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

5. Do you have or use a cellular phone? Yes No

6. Do you own at least one pair of blue jeans? Yes No

7. Do you ever download movies from the Internet? Yes No

8. Will you visit a therapist or psychiatrist this week? Yes No

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

10. Do you play any musical instruments? Yes No

11. Do you work outside of the home? Yes No

12. Do you own a first aid kit? 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - The coconut is the largest seed in the world. - 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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