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Survey about broken bones, doctor, theaters, disasters, blue jeans and cocunuts.

Begin Survey

1. Do you have road rage? Yes No

2. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

3. Have you ever broken any bones? Yes No

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

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

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

7. Are any of your grandparents still alive? Yes No

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

9. Have you ever taken dance lessons? Yes No

10. Do you know CPR? Yes No

11. Do you use mouthwash? Yes No

12. Will you go see a new-release movie at a theater this week? Yes No

13. Do you enjoy watching cooking shows? Yes No

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

15. Do you suffer from seasonal allergies? Yes No

16. Will you balance your checkbook this week? Yes No

17. Will you engage in rigorous physical activity at least three times this week? Yes No

18. Do you have an annual check-up or exam with your family doctor? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - The '57' on the bottle of Heinz ketchup stands for the number of pickle varieties they once offered. - The liquid inside young coconuts can be used as a substitute for blood plasma. - It takes 570 gallons of white paint to cover the outside of the White House.

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