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Survey about brain, travel, lunch, horoscopes, coonskin caps and family.

Begin Survey

1. Do you have an annual check-up or exam with your family doctor? Yes No

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

3. Do you enjoy reality television? Yes No

4. Do you eat lunch every day? Yes No

5. Do you own a gun? Yes No

6. Have you ever been tested for HIV? Yes No

7. Do you have any phobias? Yes No

8. Do you get a flu shot every winter? Yes No

9. Have you ever spent a day at a spa? Yes No

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

11. Do you brush your teeth after lunch? Yes No

12. Have you ever been arrested? Yes No

13. Do you eat breakfast every morning? Yes No

14. Do you read your horoscope every day? Yes No

15. Are your parents still married? Yes No

16. Do you follow a low-carb diet? 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: - Daniel Boone hated coonskin caps. - Ears of corn always have an even number of rows of kernels. - The human brain stops growing at the age of 18. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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