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Survey about bunny, poetry, mouthwash, contact lenses, documentary films and car accidents.

Begin Survey

1. Do you use mouthwash? Yes No

2. Would you consider yourself to be in good overall health? Yes No

3. Did you graduate from high school? Yes No

4. Do you enjoy documentary films? Yes No

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

6. Do enjoy reading or writing poetry? Yes No

7. Do you follow a vegetarian diet? Yes No

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

9. Do you wear glasses/contacts? Yes No

10. Do you smoke cigarettes? Yes No

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

12. Do you have a DVD player? Yes No

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

14. 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: - Andrew Jackson’s tombstone does not mention that he served as the president of the United States. - Lima beans contain cyanide. - The United States produces more tobacco than it does wheat. - Hawaii has the only royal palace in the United States – Iolani.

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