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Survey about tongue, bungee-jumping, walt disney, medications, playstation 2 and road rage.

Begin Survey

1. Have you ever responded to a personals ad? Yes No

2. Do you attend regular religious services? Yes No

3. Are you a registered voter? Yes No

4. Do you wear sunscreen every day? Yes No

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

6. Do you enjoy science fiction/fantasy movies? Yes No

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

8. Do you have road rage? Yes No

9. Are you involved in volunteerism? Yes No

10. Do you own a motorcycle? Yes No

11. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

13. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Lemons contain more sugar than strawberries. - The tongue is the strongest muscle in the human body. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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