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Survey about dyslexic, health, tattoos, chewing tobacco, research and selling.

Begin Survey

1. Do you have any tattoos? Yes No

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

3. Do you subscribe to your local newspaper? Yes No

4. Do you own a motorcycle? Yes No

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

6. Do you own your home? Yes No

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

8. Do you enjoy playing video games? Yes No

9. Do you use chewing tobacco? Yes No

10. Do you use a dishwasher to do your dishes? Yes No

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

12. Will you be taking any road trips this week (over 50 miles)? Yes No

13. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

14. Do you take a daily multi-vitamin? Yes No

15. Do you enjoy hunting or fishing? Yes No

16. Do you follow a low-carb diet? Yes No

17. Have you ever purchased or sold anything on eBay? Yes No

18. Do you plan on visiting a mall this week? Yes No

19. Will you visit a casino this week? 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: - Leonardo da Vinci was dyslexic. - Nutmeg is extremely poisonous if injected intravenously. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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