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Survey about driving, 2003, cooking, sunscreen, potato research and health insurance.

Begin Survey

1. Can you drive a stick shift? Yes No

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

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

4. Have you ever cut your own hair? Yes No

5. Do you have a savings account? Yes No

6. Do you have health insurance? Yes No

7. Do you wear sunscreen every day? Yes No

8. Do you use mouthwash? Yes No

9. Are you a veteran? Yes No

10. Did you drink coffee this morning? Yes No

11. Do you fly an American flag at home? Yes No

12. Will you ride on a bus this week? Yes No

13. Do you believe in miracles? Yes No

14. Do you enjoy board games? Yes No

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

16. Do you enjoy cooking or baking? Yes No

17. Have you ever pilfered office supplies from work? Yes No

18. Do you have a checking account? Yes No

19. 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - Your heart rate can rise as much as 30% during a yawn. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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