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Survey about theme parks, physical activity, coffee, umbrella, miracles and charity.

Begin Survey

1. Do you think you are intelligent? Yes No

2. Do you have any food allergies? Yes No

3. Do you listen to talk radio? Yes No

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

5. Do you have children? Yes No

6. Are you a veteran? Yes No

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

8. Do you believe in miracles? Yes No

9. Did you drink coffee this morning? Yes No

10. Will you visit a doctor this week? Yes No

11. Do you eat lunch every day? Yes No

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

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

14. Do you enjoy roller coasters? Yes No

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

16. Do you fly an American flag at home? Yes No

17. Do you practice yoga? Yes No

18. Do you keep an umbrella in your car? Yes No

19. Will you go to a concert this week? Yes No

20. 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: - 20252 is Smokey the Bear's own zip code. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - One quarter of the human brain is used to control the eyes. - Lake Michigan is the largest lake in the United States.

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