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Survey about roller-skating, cappuccino, disasters, florists, mp3 players and health.

Begin Survey

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

2. Do you have road rage? Yes No

3. Do you splash in mud puddles? Yes No

4. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

5. Will you go to a bar or night club this week? Yes No

6. Will you buy plants or flowers from a florist this week? Yes No

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

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

9. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

11. Do you use mouthwash? Yes No

12. Do you believe in Santa Claus? Yes No

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

14. Do you enjoy Girl Scout cookies? Yes No

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

16. Do you have or use an MP3 player? Yes No

17. Do you drink enough water (6 8-ounce glasses) every day? Yes No

18. Do you plan on visiting the public library this week? Yes No

19. Will you buy a lottery ticket this week? Yes No

20. Have you ever placed a personals ad? 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: - Alfred Hitchcock didn't have a belly button. - The average American eats approximately 60 hot dogs per year. - 15% of Americans secretly bite their toes. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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