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Survey about sleep, phones, frogs, health, coonskin caps and pillow.

Begin Survey

1. Do you enjoy roller coasters? Yes No

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

3. Do you take a bagged lunch to work every day? Yes No

4. Have you ever been the target of identity theft? Yes No

5. Do you drink milk? Yes No

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

7. Do you think you are physically attractive? Yes No

8. Do you sleep with a pillow at night? Yes No

9. Do you always drive within the posted speed limit? Yes No

10. Have you graduated from (or finished) college? Yes No

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

12. Do you get a flu shot every winter? Yes No

13. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

14. Do you have any siblings? Yes No

15. 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: - Daniel Boone hated coonskin caps. - Non-dairy creamer is flammable. - More people have a phobia of frogs than rats. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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