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Survey about cigarettes, road rage, babies, drug use, non-fiction and medications.

Begin Survey

1. Do you think you are physically attractive? Yes No

2. Do you smoke cigarettes? Yes No

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

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

5. Do you enjoy reading non-fiction books for pleasure? Yes No

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

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

8. Do you own a first aid kit? Yes No

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

10. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

11. Do you listen to talk radio? Yes No

12. Are you a veteran? Yes No

13. Do you have road rage? Yes No

14. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

15. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - 50% of pizzas sold in the U.S. have pepperoni on them. - Babies are born without knee caps. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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