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Survey about speed needle, 1962, billionaire, car accidents, women and spicy food.

Begin Survey

1. Did you vote in the last Presidential election? Yes No

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

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

4. Do you practice yoga? Yes No

5. Will you plant a vegetable and/or flower garden this year? Yes No

6. Do you have any piercings? Yes No

7. Do you enjoy spicy foods? Yes No

8. Do you have any pets? Yes No

9. Do you brush your teeth after lunch? Yes No

10. Do you use charge cards? Yes No

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

12. Will you go see a new-release movie at a theater this week? Yes No

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

14. Do you enjoy television police/crime dramas? Yes No

15. Do you have a valid passport? Yes No

16. Do you shower at least once daily? Yes No

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

18. Do you plan on visiting a mall this week? Yes No

19. Do you contribute money to any charitable organizations? Yes No

20. Do you take any prescribed daily medications? 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - Americans eat an average of 18 pounds of fresh apples each year. - Men are 6 times more likely to be struck by lightning than women. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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