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Survey about brain, medications, pentagon, intelligent, athletes and belly button.

Begin Survey

1. Do you splash in mud puddles? Yes No

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

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

4. Will you buy a lottery ticket this week? Yes No

5. Do you give your children a daily multi-vitamin? Yes No

6. Do you think you are intelligent? Yes No

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

8. Do you ever download movies from the Internet? Yes No

9. Are you currently attending college or taking adult enrichment classes? Yes No

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

11. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

12. Will you go to a concert this week? Yes No

13. Do you have health insurance? Yes No

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

15. Do you shower at least once daily? Yes No

16. Can you whistle? Yes No

17. Will you visit a beauty salon this week? Yes No

18. 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: - Alfred Hitchcock didn't have a belly button. - Lima beans contain cyanide. - The human brain stops growing at the age of 18. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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