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Survey about broken bones, take-out, shopping, attractive, books and chewing tobacco.

Take a fun daily life survey about broken bones, take-out, shopping, attractive, books and chewing tobacco. Get a chance to win prizes, earn rewards and money. Find out interesting facts about yourself and others.

Begin Survey
1. Are you involved in volunteerism?
Yes No
2. Do you use chewing tobacco?
Yes No
3. Will you go to the grocery store this week?
Yes No
4. Have you ever broken any bones?
Yes No
5. Do you run the vacuum (or sweep) your floors every day?
Yes No
6. Have you ever been in a car accident?
Yes No
7. Will you order take-out or delivery food from a restaurant this week?
Yes No
8. Do you enjoy Girl Scout cookies?
Yes No
9. Do you plan on visiting the public library this week?
Yes No
10. Do you enjoy playing video games?
Yes No
11. Do you own a Bible, Koran, or other religious book?
Yes No
12. Do you think you are physically attractive?
Yes No
13. Do you eat lunch every day?
Yes No
14. Do you belong to a labor union?
Yes No
15. 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.
- Lima beans contain cyanide.
- Right-handed people live, on average, nine years longer than left-handed people.
- The Step Pyramid is the first known monumental structure made of stone anywhere in the world. The Step Pyramid Complex of Djoser was built during the Third Dynasty (2800 B.C.) in Saqqara, Egypt.

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