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Survey about relatives, zip codes, beauty salons, modern man, loans and bungee-jumping.

Begin Survey

1. Do you have any tattoos? Yes No

2. Do you use chewing tobacco? Yes No

3. Have you ever borrowed money from a relative? Yes No

4. Have you ever been rock or mountain climbing? Yes No

5. Did you drink coffee this morning? Yes No

6. Do you wear glasses/contacts? Yes No

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

8. Are you currently attending college or taking adult enrichment classes? Yes No

9. Do you enjoy independent films? Yes No

10. Are any of your grandparents still alive? Yes No

11. Will you visit a beauty salon this week? Yes No

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

13. Do you believe in miracles? Yes No

14. 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: - 20252 is Smokey the Bear's own zip code. - Approximately 3 billion pizzas are sold in the U.S. each year. - Neanderthal man had a brain capacity 100cc larger than modern man. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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