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Survey about doctor, romance, broken bones, cher, statue of liberty and sonny.

Begin Survey

1. Do you have health insurance? Yes No

2. Do you own or use a digital camera? Yes No

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

4. Have you ever placed a personals ad? Yes No

5. Do you own a matching set of luggage? Yes No

6. Do you plan to visit any U.S. National Parks this year? Yes No

7. Have you ever been tested for HIV? Yes No

8. Have you ever had a professional massage? Yes No

9. Have you made your will? Yes No

10. Do you have any camping trips planned for this summer? Yes No

11. Have you ever gone sky-diving or bungee-jumping? Yes No

12. Will you order take-out or delivery food from a restaurant this week? Yes No

13. Do you work outside of the home? Yes No

14. Do you read the comics? Yes No

15. Do you smoke cigarettes? Yes No

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

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

18. Have you ever broken any bones? Yes No

19. Do you watch the evening news? 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: - Sonny and Cher originally called themselves Cleo and Caesar. - Ears of corn always have an even number of rows of kernels. - By the age of 60, most people have lost 50% of their taste buds. - 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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