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Survey about sky-diving, swimming pools, alcoholic beverages, reality television, community services and car accidents.

Begin Survey

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

2. Do you enjoy documentary films? Yes No

3. Do you have a land-line phone in your home? Yes No

4. Are you satisfied in your current employment? Yes No

5. Have you ever been in a car accident? Yes No

6. Will you visit a doctor this week? Yes No

7. Do you enjoy reality television? Yes No

8. Are you a registered voter? Yes No

9. Do you enjoy reading non-fiction books for pleasure? Yes No

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

11. Do you enjoy roller coasters? Yes No

12. Do you have any siblings? Yes No

13. Do you drink milk? Yes No

14. Do you have a sit-down family dinner every night? Yes No

15. Do you enjoy card games? Yes No

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

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

18. Do you have a swimming pool? Yes No

19. Do you plan on performing any community service this week? Yes No

20. Have you ever spent a day at a spa? 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - Almonds are a member of the peach family. - Neanderthal man had a brain capacity 100cc larger than modern man. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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