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Survey about car accidents, music, console, tomatoes, vcr and taste buds.

Begin Survey

1. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

2. Do you enjoy reading non-fiction books for pleasure? Yes No

3. Do you read your horoscope every day? Yes No

4. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

5. Do you fly an American flag at home? Yes No

6. Do you have a VCR? Yes No

7. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

8. Can you whistle? Yes No

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

10. Do you have any houseplants? Yes No

11. Do you use chewing tobacco? Yes No

12. Will you visit a doctor this week? Yes No

13. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

14. Do you drink enough water (6 8-ounce glasses) every day? Yes No

15. Do you have an annual check-up or exam with your family doctor? Yes No

16. Do you know your cholesterol level? Yes No

17. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Tomatoes were thought to be poisonous at one time. - By the age of 60, most people have lost 50% of their taste buds. - Buckingham Palace has over six hundred rooms.

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