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Survey about chicago, drugs, mel blanc, allergy, roller coasters and carrots.

Begin Survey

1. Will you consume any alcoholic beverages this weekend? Yes No

2. Will you rent a DVD or video this weekend? Yes No

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

4. Do you know CPR? Yes No

5. Do you have any food allergies? Yes No

6. Do you believe in Santa Claus? Yes No

7. Do you enjoy roller coasters? Yes No

8. Do you enjoy documentary films? Yes No

9. Should government employees be randomly tested for illicit drug use? Yes No

10. Do you use mouthwash? Yes No

11. Do you wear sunscreen every day? Yes No

12. Do you splash in mud puddles? Yes No

13. 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The Sears Tower in Chicago has its own zip code.

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