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Survey about broken bones, mouthwash, traffic tickets, motorcycles, insurance and seed.

Begin Survey

1. Do you enjoy playing video games? Yes No

2. Do you practice yoga? Yes No

3. Do you know your cholesterol level? Yes No

4. Have you ever broken any bones? Yes No

5. Will you ride on a bus this week? Yes No

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

7. Do you use mouthwash? Yes No

8. Will you visit a hardware or home improvement store this week? Yes No

9. Do you work outside of the home? Yes No

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

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

12. Do you drink milk? Yes No

13. Do you believe in destiny or fate? Yes No

14. Do you own a motorcycle? Yes No

15. Do you enjoy cooking or baking? Yes No

16. Do you enjoy card games? Yes No

17. Do you sing in the shower? Yes No

18. Do you follow a vegetarian diet? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - The coconut is the largest seed in the world. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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