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Survey about allergy, low-carb diet, health insurance, holidays, avocados and reading.

Begin Survey

1. Do you ever use a tanning bed? Yes No

2. Have you ever broken any bones? Yes No

3. Have you ever purchased or sold anything on eBay? Yes No

4. Do you have road rage? Yes No

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

6. Do you have health insurance? Yes No

7. Do enjoy reading or writing poetry? Yes No

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

9. Do you work outside of the home? Yes No

10. Do you enjoy spicy foods? Yes No

11. Do you know CPR? Yes No

12. Do you follow a low-carb diet? Yes No

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

14. Do you have any food allergies? Yes No

15. Do you believe in miracles? Yes No

16. Do you have or use an MP3 player? Yes No

17. Have you ever had a professional massage? Yes No

18. Will you be staying at a hotel this week? Yes No

19. 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: - The characters Bert and Ernie on Sesame Street were named after Bert the cop and Ernie the taxi driver in Frank Capra's 'It's A Wonderful Life' - Avocados have more protein than any other fruit. - Only 1 person in 2 billion will live to be 116. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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