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Survey about dyslexic, speed limit, drama, console, children and concerts.

Begin Survey

1. Do you use charge cards? Yes No

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

3. Do you follow a vegetarian diet? Yes No

4. Do you think you are intelligent? Yes No

5. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

6. Do you have or use a PDA (Personal Digital Assistant)? Yes No

7. Did you drink coffee this morning? Yes No

8. Have you ever gone sky-diving or bungee-jumping? Yes No

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

10. Do you take a bagged lunch to work every day? Yes No

11. Do you brush your teeth after lunch? Yes No

12. Do you have children? Yes No

13. Do you play any musical instruments? Yes No

14. Do you have any food allergies? Yes No

15. Do you always drive within the posted speed limit? Yes No

16. Do you have any phobias? Yes No

17. Will you go to a concert this week? Yes No

18. Do you enjoy television police/crime dramas? 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: - Leonardo da Vinci was dyslexic. - The onion is named after a Latin word meaning large pearl. - Your heart rate can rise as much as 30% during a yawn. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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