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Survey about car accidents, dinner, multi-vitamin, zoo, 20252 and traffic tickets.

Begin Survey

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

2. Do you plan to visit the zoo this year? Yes No

3. Do you enjoy board games? Yes No

4. Are you a veteran? Yes No

5. Do you suffer from seasonal allergies? Yes No

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

7. Do you enjoy hunting or fishing? Yes No

8. Do you listen to talk radio? Yes No

9. Do you own a Bible, Koran, or other religious book? Yes No

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

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

12. Do you plan on visiting a mall this week? Yes No

13. Do you believe there is life on other planets? Yes No

14. Do you have a sit-down family dinner every night? Yes No

15. Do you think you are intelligent? Yes No

16. Do you wear sunscreen every day? Yes No

17. Do you work outside of the home? Yes No

18. Do you eat breakfast every morning? Yes No

19. Do you brush your teeth after lunch? 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: - 20252 is Smokey the Bear's own zip code. - The average American drinks 25 gallons of milk per year. - A sneeze travels at 100 miles per hour. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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