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Survey about passports, airplanes, slippers, fate, ethnic foods and 100 years.

Begin Survey

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

2. Do you enjoy independent films? Yes No

3. Do you have a valid passport? Yes No

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

5. Do you own a pair of fuzzy bunny slippers? Yes No

6. Do you know your cholesterol level? Yes No

7. Are you a registered voter? Yes No

8. Have you ever eaten rattlesnake meat? Yes No

9. Have you ever traveled by airplane? Yes No

10. Have you ever been tested for HIV? Yes No

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

12. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

13. Do you wear mittens? Yes No

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

15. Have you ever taken dance lessons? Yes No

16. Do you enjoy ethnic foods? Yes No

17. 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: - Al Capone's business card said he was a used furniture dealer. - Lemons contain more sugar than strawberries. - 80% of people over 100 years old are women. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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