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Survey about drugs, public library, american flag, road rage, world and hiv.

Begin Survey

1. Do you wear mittens? Yes No

2. Have you ever broken any bones? Yes No

3. Do you give your children a daily multi-vitamin? Yes No

4. Do you have road rage? Yes No

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

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

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

8. Should government employees be randomly tested for illicit drug use? Yes No

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

10. Will you consume any alcoholic beverages this weekend? Yes No

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

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

13. Have you ever traveled by airplane? Yes No

14. 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: - Pierce Brosnan once worked in the circus as a fire eater. - Headache pain can be reduced by eating 20 tart cherries. - The United States has the highest minimum drinking age in the world. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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