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Survey about bones, car accidents, traffic tickets, acne, george washington and bungee-jumping.

Begin Survey

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

2. Do you use mouthwash? Yes No

3. Are you married? Yes No

4. Do you sleep with a pillow at night? Yes No

5. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

6. Do you enjoy board games? Yes No

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

8. Do you splash in mud puddles? Yes No

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

10. Do you have Internet access at home? Yes No

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

12. Do you ever dye your hair? Yes No

13. Do you enjoy cooking or baking? Yes No

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

15. Have you ever been in a car accident? Yes No

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

17. Do you enjoy card games? Yes No

18. Have you ever cut your own hair? 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Chocolate does not cause acne. - 25% of your bones are located in your feet. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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