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Survey about children, flowers, fishing, thumb, leonardo da vinci and smoking.

Begin Survey

1. Do you have road rage? Yes No

2. Do you attend regular religious services? Yes No

3. Do your children attend public schools? Yes No

4. Do you play any musical instruments? Yes No

5. Do you know your cholesterol level? Yes No

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

7. Can you drive a stick shift? Yes No

8. Do you keep an umbrella in your car? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Will you buy plants or flowers from a florist this week? Yes No

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

12. Do you splash in mud puddles? Yes No

13. Do you smoke cigarettes? Yes No

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

15. Do you play any organized team sports? Yes No

16. Will you go to a bar or night club this week? Yes No

17. Will you go to the grocery store this week? Yes No

18. Do you listen to talk radio? Yes No

19. Will you visit a therapist or psychiatrist this week? Yes No

20. Do you enjoy hunting or fishing? 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: - Leonardo da Vinci invented scissors. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Your thumb is the same length as your nose. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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