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Survey about vacuum, religion, kopi luwak, blood plasma, hospital and tornados.

Begin Survey

1. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

2. Do you own a motorcycle? Yes No

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

4. Do you attend regular religious services? Yes No

5. Do you have health insurance? Yes No

6. Do you listen to talk radio? Yes No

7. Do you run the vacuum (or sweep) your floors every day? Yes No

8. Do you follow a vegetarian diet? Yes No

9. Do you enjoy ethnic foods? Yes No

10. Do you subscribe to your local newspaper? Yes No

11. Will you balance your checkbook this week? Yes No

12. Have you ever traveled by airplane? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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