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Survey about passports, milk, santa claus, 1952, dead and blue jeans.

Begin Survey

1. Do you have any siblings? Yes No

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

3. Have you ever been arrested? Yes No

4. Do you read your horoscope every day? Yes No

5. Do you enjoy hunting or fishing? Yes No

6. Do you have a checking account? Yes No

7. Do you have health insurance? Yes No

8. Do you believe in Santa Claus? Yes No

9. Will you attend a professional sporting event this month? Yes No

10. Do you have or use a PDA (Personal Digital Assistant)? Yes No

11. Do you use chewing tobacco? Yes No

12. Are your immunizations up-to-date? Yes No

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

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

15. Do you wear a watch every day? Yes No

16. Do you have cable or satellite television? Yes No

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

18. Do you drink milk? Yes No

19. Do you have a valid passport? Yes No

20. Have you ever been in a car accident? Yes No

21. 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - Dandelion root can be roasted and ground as a coffee substitute. - Only 1 person in 2 billion will live to be 116. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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