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Survey about cars, seasonal allergies, romance, spicy food, luck and insurance plans.

Begin Survey

1. Have you ever placed a personals ad? Yes No

2. Do you believe in love at first sight? Yes No

3. Do you enjoy spicy foods? Yes No

4. Do you suffer from seasonal allergies? Yes No

5. Do you take a bagged lunch to work every day? Yes No

6. Have you graduated from (or finished) college? Yes No

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

8. Do you plan on visiting the public library this week? Yes No

9. Do you wear glasses/contacts? Yes No

10. Have you ever been tested for HIV? Yes No

11. Do you take a daily multi-vitamin? Yes No

12. Have you ever won the lottery? Yes No

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

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

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

16. 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Lima beans contain cyanide. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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