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Survey about broken bones, credit unions, zoo, rats, cockroaches and pda.

Begin Survey

1. Have you ever broken any bones? Yes No

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

3. Will you visit a casino this week? Yes No

4. Will you travel outside of the U.S. this year? Yes No

5. Do you use mouthwash? Yes No

6. Do you fly an American flag at home? Yes No

7. Do you plan to visit the zoo this year? Yes No

8. Do you have or use a PDA (Personal Digital Assistant)? Yes No

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

10. Do you enjoy reality television? Yes No

11. Do you believe there is life on other planets? Yes No

12. Do you belong to a credit union? Yes No

13. Do you believe in Santa Claus? Yes No

14. Are your parents still married? Yes No

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

16. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Ears of corn always have an even number of rows of kernels. - More children are allergic to cockroaches than cats - In Washington D.C., no building may be built taller than the Washington Monument.

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