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Survey about safety belt, beats, video games, music, radio and piercings.

Begin Survey

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

2. Are your parents still married? Yes No

3. Do you think you are physically attractive? Yes No

4. Do you enjoy cat-naps? Yes No

5. Do you have any piercings? Yes No

6. Do you contribute money to any charitable organizations? Yes No

7. Do you own a motorcycle? Yes No

8. Do you own your home? Yes No

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

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

11. Do you enjoy playing video games? Yes No

12. Do you enjoy science fiction/fantasy movies? Yes No

13. Will you see a play this month? Yes No

14. Do you ever download music from the Internet? Yes No

15. Do you listen to talk radio? Yes No

16. Will you be visiting any theme parks this year? Yes No

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

18. Do you have a DVD player? Yes No

19. Would you consider yourself an avid sports fan? 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: - The characters Bert and Ernie on Sesame Street were named after Bert the cop and Ernie the taxi driver in Frank Capra's 'It's A Wonderful Life' - The average American eats approximately 60 hot dogs per year. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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