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Survey about sky-diving, children, election, florists, theme parks and cleaning.

Begin Survey

1. Do you have any camping trips planned for this summer? Yes No

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

3. Have you ever been arrested? Yes No

4. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

5. Do you use online banking? Yes No

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

7. Have you ever pilfered office supplies from work? Yes No

8. Will you buy plants or flowers from a florist this week? Yes No

9. Would you consider yourself to be in good overall health? Yes No

10. Have you ever traced your family tree? Yes No

11. Do you enjoy Girl Scout cookies? Yes No

12. Have you made your will? Yes No

13. Do you believe in love at first sight? Yes No

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

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

16. Do you wear cologne or perfume every day? Yes No

17. Do you own or use a digital camera? Yes No

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

19. Did you vote in the last Presidential election? Yes No

20. Will you rent a DVD or video this weekend? 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - The average French citizen eats 500 snails per year. - More children are allergic to cockroaches than cats - The Sears Tower in Chicago has its own zip code.

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