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Survey about cpr, singing, beauty salons, houseplants, shower and broken bones.

Begin Survey

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

2. Do you plan on visiting a mall this week? Yes No

3. Do you enjoy independent films? Yes No

4. Do you own a dictionary and/or thesaurus? Yes No

5. Do you enjoy hot bubble baths? Yes No

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

7. Do you subscribe to your local newspaper? Yes No

8. Do you own a gun? Yes No

9. Do you have a VCR? Yes No

10. Have you ever broken any bones? Yes No

11. Do you know CPR? Yes No

12. Do you enjoy watching cooking shows? Yes No

13. Do you smoke cigarettes? Yes No

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

15. Do you eat lunch every day? Yes No

16. Can you drive a stick shift? Yes No

17. Do enjoy reading or writing poetry? Yes No

18. Do you believe in love at first sight? Yes No

19. Do you have any houseplants? Yes No

20. Do you sing in the shower? 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: - Houdini was the first man to fly a plane solo in Australia. - Onions have no flavor, only a smell. - The storage capacity of human brain exceeds 4 terrabytes. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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