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Survey about ronald reagan, sky-diving, blueberry jelly, books, mud puddles and religion.

Begin Survey

1. Are you a veteran? Yes No

2. Do you like chocolate? Yes No

3. Do you always wear your safety belt when in a car? Yes No

4. Do you take a daily multi-vitamin? Yes No

5. Do you belong to a labor union? Yes No

6. Will you take any train or subway rides this week? Yes No

7. Do you splash in mud puddles? Yes No

8. Will you attend a college sporting event this month? Yes No

9. Do you enjoy reality television? Yes No

10. Have you eaten fast food this week? Yes No

11. Do you have road rage? Yes No

12. Will you visit a therapist or psychiatrist this week? Yes No

13. Have you ever spent a day at a spa? Yes No

14. Do you use charge cards? Yes No

15. Do you have or use a cellular phone? Yes No

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

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

18. Do you use online banking? Yes No

19. Do you have a checking account? Yes No

20. Do you belong to a credit union? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Americans eat an average of 18 pounds of fresh apples each year. - The liquid inside young coconuts can be used as a substitute for blood plasma. - Lake Michigan is the largest lake in the United States.

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