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Survey about chewing tobacco, love, hotels, parents, lawsuits and flu.

Begin Survey

1. Do you smoke cigarettes? Yes No

2. Do you know how to fly an airplane? Yes No

3. Will you ride on a bus this week? Yes No

4. Do you use chewing tobacco? Yes No

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

6. Do you get a flu shot every winter? Yes No

7. Do you eat breakfast every morning? Yes No

8. Are your parents still married? Yes No

9. Will you visit a beauty salon this week? Yes No

10. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

12. Do you feel Americans file too many frivolous lawsuits? Yes No

13. Have you ever been in love? Yes No

14. Will you be staying at a hotel this week? Yes No

15. Have you ever traveled by airplane? Yes No

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

17. Do you think you are intelligent? Yes No

18. Do you belong to a credit union? Yes No

19. Can you drive a stick shift? Yes No

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

21. 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - Tomatoes were thought to be poisonous at one time. - Betty Rubble made her debut as a Flintstones Vitamin in 1996. - The Golden Gate Bridge was first opened in 1937.

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