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Survey about cocunuts, family, seasonal allergies, horoscopes, volunteers and floors.

Begin Survey

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

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

3. Do you read your horoscope every day? Yes No

4. Have you made your will? Yes No

5. Are you involved in volunteerism? Yes No

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

7. Will you travel outside of the U.S. this year? Yes No

8. Do you suffer from seasonal allergies? Yes No

9. Have you ever eaten fried green tomatoes? Yes No

10. Do you wear sunscreen every day? Yes No

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

12. Do you contribute money to any charitable organizations? Yes No

13. Do you always drive within the posted speed limit? Yes No

14. Will you buy a lottery ticket this week? Yes No

15. Do you run the vacuum (or sweep) your floors every day? Yes No

16. Do you enjoy hot bubble baths? Yes No

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

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

19. Do you believe in destiny or fate? Yes No

20. Do you follow a low-carb diet? 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: - 20252 is Smokey the Bear's own zip code. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - The liquid inside young coconuts can be used as a substitute for blood plasma. - Central Park (in New York City) has 125 drinking fountains.

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