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Survey about religious services, checking account, heart rate, wilma flintstones, books and family.

Begin Survey

1. Do you believe in karma? Yes No

2. Do you enjoy reading non-fiction books for pleasure? Yes No

3. Will you engage in rigorous physical activity at least three times this week? Yes No

4. Will you visit a casino this week? Yes No

5. Do you have road rage? Yes No

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

7. Do you believe in love at first sight? Yes No

8. Do you have a checking account? Yes No

9. Are you a veteran? Yes No

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

11. Will you attend religious services this week? Yes No

12. Do you own a gun? Yes No

13. Do you have an annual check-up or exam with your family doctor? Yes No

14. Do you enjoy independent films? Yes No

15. 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Your heart rate can rise as much as 30% during a yawn. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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