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Survey about bunny, physical activity, beauty salons, diet soda, slippers and disasters.

Begin Survey

1. Do you have road rage? Yes No

2. Have you ever been in love? Yes No

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

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

5. Have you ever participated in a focus group? Yes No

6. Do you own a dictionary and/or thesaurus? Yes No

7. Have you ever been in a car accident? Yes No

8. Do you have health insurance? Yes No

9. Do you eat breakfast every morning? Yes No

10. Do you listen to talk radio? Yes No

11. Do you ever use a tanning bed? Yes No

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

13. Do you have a savings account? Yes No

14. Will you engage in rigorous physical activity at least three times this week? Yes No

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

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

17. Do you drink diet soda? Yes No

18. Do you give your children a daily multi-vitamin? Yes No

19. Are you married? Yes No

20. Do you have any piercings? Yes No

21. 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: - More people have seen David Copperfield perform live than any other performer in the world. - Peanuts are one of the ingredients in dynamite. - Both carrots and ketchup were once considered to have medicinal value. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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