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Survey about umbrella, mountain climbing, road trips, loans, teeth and pumpkins.

Begin Survey

1. Have you ever been rock or mountain climbing? Yes No

2. Do you believe in karma? Yes No

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

4. Do you use chewing tobacco? Yes No

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

6. Have you ever broken any bones? Yes No

7. Have you ever spent more than $100 on a pair of shoes? Yes No

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

9. Have you eaten fast food this week? Yes No

10. Do you drink diet soda? Yes No

11. Do you have any piercings? Yes No

12. Do you use mouthwash? Yes No

13. Do you believe in miracles? Yes No

14. Will you be taking any road trips this week (over 50 miles)? Yes No

15. Do you brush your teeth each morning? Yes No

16. Have you ever borrowed money from a relative? Yes No

17. 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: - Babe Ruth wore No. 3 because he batted third. - At one time, pumpkins were recommended for removing freckles. - Half of all Americans over the age of 55 have no teeth. - 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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