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Survey about doctors, broken bones, volunteers, pittsburgh, michael douglas and hardware.

Begin Survey

1. Have you ever broken any bones? Yes No

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

3. Do you enjoy gambling? Yes No

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

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

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

7. Are you involved in volunteerism? Yes No

8. Did you vote in the last Presidential election? Yes No

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

10. Will you engage in rigorous physical activity at least three times this week? Yes No

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

12. Do you always wear your safety belt when in a car? Yes No

13. Will you visit a hardware or home improvement store this week? Yes No

14. Do you suffer from seasonal allergies? Yes No

15. Do you listen to talk radio? Yes No

16. Will you buy plants or flowers from a florist this week? Yes No

17. Do you play any musical instruments? Yes No

18. 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: - Michale Keaton's original name is Michael Douglas. - At one time, pumpkins were recommended for removing freckles. - Your heart rate can rise as much as 30% during a yawn. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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