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Survey about sky-diving, theme parks, coffee, therapists, reading and mickey mouse.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

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

3. Are you married? Yes No

4. Do you use chewing tobacco? Yes No

5. Do you own a first aid kit? Yes No

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

7. Do you enjoy documentary films? Yes No

8. Will you order take-out or delivery food from a restaurant this week? Yes No

9. Do you splash in mud puddles? Yes No

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

11. Do you have any food allergies? Yes No

12. Do enjoy reading or writing poetry? Yes No

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

14. Will you visit a therapist or psychiatrist this week? Yes No

15. Do you belong to any professional organizations? Yes No

16. 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: - Mickey Mouse was the first non-human to win an Academy Award (Oscar). - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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