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Survey about sleep, swimming pools, birthdays, bungee-jumping, airplanes and doctor.

Begin Survey

1. Do you ever download movies from the Internet? Yes No

2. Do you enjoy cat-naps? Yes No

3. Do you have an annual check-up or exam with your family doctor? Yes No

4. Have you ever gotten a traffic ticket? Yes No

5. Do you have a swimming pool? Yes No

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

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

8. Do you drink diet soda? Yes No

9. Do you enjoy roller coasters? Yes No

10. Do you watch the evening news? Yes No

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

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

13. Do you plan on taking a trip by airplane this week? Yes No

14. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

15. Do you eat breakfast every morning? Yes No

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

17. Do you take any prescribed daily medications? Yes No

18. Do you have a savings account? Yes No

19. 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - Nutmeg is extremely poisonous if injected intravenously. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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