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Survey about sky-diving, bungee-jumping, science fiction, dishwashers, fire eater and fantasy.

Begin Survey

1. Do you enjoy cooking or baking? Yes No

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

3. Do you have any phobias? Yes No

4. Do you have health insurance? Yes No

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

6. Do you have road rage? Yes No

7. Do you have a checking account? Yes No

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

9. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

10. Did you graduate from high school? Yes No

11. Do you have a savings account? Yes No

12. Do you have any houseplants? Yes No

13. Do you have or use a PDA (Personal Digital Assistant)? Yes No

14. Do you use a dishwasher to do your dishes? Yes No

15. Do you enjoy documentary films? Yes No

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

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

18. Do you suffer from seasonal allergies? Yes No

19. Do you use online banking? Yes No

20. Will you visit a casino 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: - Pierce Brosnan once worked in the circus as a fire eater. - Americans eat an average of 18 pounds of fresh apples each year. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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