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Survey about broken bones, family, feet, bones, road rage and doctors.

Begin Survey

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

2. Will you visit a therapist or psychiatrist this week? Yes No

3. Are you a veteran? Yes No

4. Do you own at least one pair of blue jeans? Yes No

5. Do you have road rage? Yes No

6. Have you ever taken dance lessons? Yes No

7. Do you belong to any professional organizations? Yes No

8. Do you enjoy watching cooking shows? Yes No

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

10. Will you visit a doctor this week? Yes No

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

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

13. Have you ever broken any bones? Yes No

14. 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: - Virgina Woolf wrote all her books while standing. - Americans eat an average of 18 pounds of fresh apples each year. - 25% of your bones are located in your feet. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

Related Content: FUN ROAD RAGE SURVEY

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