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Survey about dyslexic, night, leonardo da vinci, traffic tickets, seed and physical activity.

Begin Survey

1. Do you think you are physically attractive? Yes No

2. Do you enjoy hot bubble baths? Yes No

3. Do you believe in Santa Claus? Yes No

4. Have you ever spent a day at a spa? Yes No

5. Have you ever been rock or mountain climbing? Yes No

6. Do you belong to a credit union? Yes No

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

8. Have you ever gotten a traffic ticket? Yes No

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

10. Do you enjoy ethnic foods? Yes No

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

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

13. Do you brush your teeth before bed each night? 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: - Leonardo da Vinci was dyslexic. - The coconut is the largest seed in the world. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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