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Survey about fire eater, flu, body, artery, tattoos and broken bones.

Begin Survey

1. Do you believe in miracles? Yes No

2. Are you left-handed? Yes No

3. Do you believe in destiny or fate? Yes No

4. Would you consider yourself to be in good overall health? Yes No

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

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

7. Would you consider yourself an avid sports fan? Yes No

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

9. Do you plan to visit any U.S. National Parks this year? Yes No

10. Did you vote in the last Presidential election? Yes No

11. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

12. Do you think you are intelligent? Yes No

13. Do you have any tattoos? Yes No

14. Have you ever broken any bones? Yes No

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

16. Do you like chocolate? Yes No

17. Do you enjoy Girl Scout cookies? Yes No

18. Are you married? Yes No

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

20. Have you eaten fast food this week? Yes No

21. 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. - The average American drinks 25 gallons of milk per year. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - 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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