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Survey about cars, guns, smoking, medications, camping and cigarettes.

Begin Survey

1. Will you buy a lottery ticket this week? Yes No

2. Do you wear sunscreen every day? Yes No

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

4. Do you have any camping trips planned for this summer? Yes No

5. Do you have or use a cellular phone? Yes No

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

7. Have you ever broken any bones? Yes No

8. Do you brush your teeth after lunch? Yes No

9. Do you smoke cigarettes? Yes No

10. Do you own a gun? Yes No

11. Do you always wear your safety belt when in a car? Yes No

12. Do you have a DVD player? Yes No

13. Will you go to a bar or night club this week? 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: - Mr. Rogers was an ordained minister. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Between 25% to 33% of people sneeze when they are exposed to light. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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