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Survey about earthquakes, hands, flu, garden, seasonal allergies and family.

Begin Survey

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

2. Do you have a land-line phone in your home? Yes No

3. Do you get a flu shot every winter? Yes No

4. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

5. Are any of your grandparents still alive? Yes No

6. Will you plant a vegetable and/or flower garden this year? Yes No

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

8. Do you have a sit-down family dinner every night? Yes No

9. Do you enjoy ethnic foods? Yes No

10. Do you brush your teeth each morning? Yes No

11. Are you left-handed? Yes No

12. Do you watch Saturday morning cartoons? Yes No

13. Do you own your own business or work for yourself? Yes No

14. Do you suffer from seasonal allergies? Yes No

15. Have you made your will? Yes No

16. Do you have any houseplants? Yes No

17. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - You are more likely to get attacked by a cow than a shark. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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