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Survey about broken bones, trips, hair, health insurance, foreigners and beauty salons.

Begin Survey

1. Do you always drive within the posted speed limit? Yes No

2. Do you speak any foreign languages? Yes No

3. Do you have a land-line phone in your home? Yes No

4. Do you plan on taking a trip by airplane this week? Yes No

5. Do you have a valid passport? Yes No

6. Do you own a first aid kit? Yes No

7. Do you have a checking account? Yes No

8. Will you see a play this month? Yes No

9. Will you visit a beauty salon this week? Yes No

10. Do you have health insurance? Yes No

11. Have you ever been less than honest on your income tax return? Yes No

12. Have you ever broken any bones? Yes No

13. Do you own a gun? Yes No

14. Do you ever dye your hair? Yes No

15. Do you have road rage? Yes No

16. Do you play any organized team sports? Yes No

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

18. Do you follow a low-carb diet? Yes No

19. Have you ever been rock or mountain climbing? 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - By the age of 60, most people have lost 50% of their taste buds. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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