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Survey about car accidents, cleaning, phones, radio, community services and medications.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Do you read the comics? Yes No

3. Have you ever broken any bones? Yes No

4. Do you enjoy cat-naps? Yes No

5. Do you enjoy hot bubble baths? Yes No

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

7. Do you plan on performing any community service this week? Yes No

8. Do you run the vacuum (or sweep) your floors every day? Yes No

9. Do you have any phobias? Yes No

10. Will you go to a concert this week? Yes No

11. Do you listen to the radio in the car? Yes No

12. Have you ever been in love? Yes No

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

14. Have you ever eaten fried green tomatoes? Yes No

15. Have you ever taken dance lessons? Yes No

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

17. Do you brush your teeth each morning? Yes No

18. Are your immunizations up-to-date? Yes No

19. Do you own a first aid kit? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - Lemons contain more sugar than strawberries. - Women blink nearly twice as much as men. - The swimming pool at the Biltmore Hotel in Coral Gables, Florida is the largest in the continental United States. It covers a half acre and holds 600,000 gallons of water.

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