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Survey about broken bones, large truck, luck, identity theft, bunny and meals.

Begin Survey

1. Have you ever been the target of identity theft? Yes No

2. Do you own a pair of fuzzy bunny slippers? Yes No

3. Do you always wear your safety belt when in a car? Yes No

4. Do you wear mittens? Yes No

5. Have you ever broken any bones? Yes No

6. Do you own or drive an SUV or large truck? Yes No

7. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

8. Do you drink diet soda? Yes No

9. Have you graduated from (or finished) college? Yes No

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

11. Do you wear cologne or perfume every day? Yes No

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

13. Are you a veteran? Yes No

14. Do you enjoy science fiction/fantasy movies? Yes No

15. Have you ever won the lottery? Yes No

16. Do you own a gun? Yes No

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

18. Are your immunizations up-to-date? Yes No

19. Do you have a sit-down family dinner every night? Yes No

20. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Apples are a member of the rose family. - Only 25% of Americans eat three meals a day. - There are 10 towns/cities named Hollywood in the United States.

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