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Survey about roller-skating, comics, satellite, passports, cable and intelligent.

Begin Survey

1. Are you a registered voter? Yes No

2. Will you use a coupon for any of your purchases this week? Yes No

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

4. Have you ever won the lottery? Yes No

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

6. Do you plan on visiting a mall this week? Yes No

7. Do you own a gun? Yes No

8. Will you ride on a bus this week? Yes No

9. Do you think you are intelligent? Yes No

10. Will you go to the grocery store this week? Yes No

11. Do you sleep with a pillow at night? Yes No

12. Do you read the comics? Yes No

13. Do you have health insurance? Yes No

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

15. Do you have a valid passport? Yes No

16. Can you roller-skate, roller-blade, and/or ice-skate? 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - A ripe cranberry will bounce. - Only 1 person in 2 billion will live to be 116. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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