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Survey about dinner, family, drugs, personal ads, aspirin and science fiction.

Begin Survey

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

2. Have you ever responded to a personals ad? Yes No

3. Will you see a play this month? Yes No

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

5. Do you suffer from seasonal allergies? Yes No

6. Do you have a sit-down family dinner every night? Yes No

7. Did you drink coffee this morning? Yes No

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

9. Do you have any food allergies? Yes No

10. Do you know CPR? Yes No

11. Do you enjoy watching cooking shows? Yes No

12. Do you feel Americans file too many frivolous lawsuits? Yes No

13. Do you enjoy science fiction/fantasy movies? Yes No

14. Do you have any piercings? Yes No

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

16. Have you eaten fast food this week? Yes No

17. Do you enjoy spicy foods? Yes No

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

19. Would you consider yourself to be in good overall health? Yes No

20. 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: - Alfred Hitchcock didn't have a belly button. - Gatorade was named for the University of Florida (Gators where it was first developed. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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