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Survey about sandals, bungee-jumping, flip-flops, gambling, drugs and safety belt.

Begin Survey

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

2. Will you consume any alcoholic beverages this weekend? Yes No

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

4. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

5. Have you ever been in love? Yes No

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

7. Have you ever cut your own hair? Yes No

8. Will you travel outside of the U.S. this year? Yes No

9. Do you enjoy gambling? Yes No

10. Do you enjoy hot bubble baths? Yes No

11. Do you have any piercings? Yes No

12. Have you ever responded to a personals ad? Yes No

13. Do you wear sandals/flip-flops in the summer? Yes No

14. Do you believe in karma? Yes No

15. Do you own a dictionary and/or thesaurus? Yes No

16. Do you run the vacuum (or sweep) your floors every day? Yes No

17. Do you know CPR? Yes No

18. Do you use chewing tobacco? Yes No

19. Do you watch the evening news? Yes No

20. Do you plan on performing any community service this week? 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: - Leonardo da Vinci invented scissors. - Tomatoes were thought to be poisonous at one time. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - 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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