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Survey about overall health, adults, fantasy, cholesterol, buckingham palace and bungee-jumping.

Begin Survey

1. Are you involved in volunteerism? Yes No

2. Do you always drive within the posted speed limit? Yes No

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

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

5. Do you use mouthwash? Yes No

6. Do you smoke cigarettes? Yes No

7. Do you plan on performing any community service this week? Yes No

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

9. Do you enjoy science fiction/fantasy movies? Yes No

10. Do you belong to a labor union? Yes No

11. Do you know your cholesterol level? Yes No

12. Do you enjoy gambling? Yes No

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

14. Did you drink coffee this morning? Yes No

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

16. Are you a veteran? Yes No

17. Do you listen to talk radio? 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: - Isaac Asimov is the only author to have a book in every Dewey-decimal category. - The coconut is the largest seed in the world. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - Buckingham Palace has over six hundred rooms.

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