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Survey about smoking, busses, billionaire, family tree, peanut butter and identity theft.

Begin Survey

1. Do you believe there is life on other planets? Yes No

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

3. Do you enjoy spicy foods? Yes No

4. Will you ride on a bus this week? Yes No

5. Do you have any houseplants? Yes No

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

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

8. Do you like peanut butter and jelly sandwiches? Yes No

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

10. Do you follow a vegetarian diet? Yes No

11. Do you smoke cigarettes? Yes No

12. Do you have children? Yes No

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

14. Will you engage in rigorous physical activity at least three times this week? Yes No

15. Do you have any food allergies? Yes No

16. Do you know your cholesterol level? Yes No

17. Do you own a pair of fuzzy bunny slippers? Yes No

18. 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - The average French citizen eats 500 snails per year. - Only 25% of Americans eat three meals a day. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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