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Survey about guns, safety belt, watches, health, chief crazy horse and sports.

Begin Survey

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

2. Will you visit a doctor this week? Yes No

3. Will you attend a professional sporting event this month? Yes No

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

5. Do you wear a watch every day? Yes No

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

7. Do you know your cholesterol level? Yes No

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

9. Do you own a gun? Yes No

10. Have you ever placed a personals ad? Yes No

11. Do you enjoy gambling? Yes No

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

13. Do you have a DVD player? Yes No

14. Have you ever been less than honest on your resume? Yes No

15. Have you ever cut your own hair? Yes No

16. Can you roller-skate, roller-blade, and/or ice-skate? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Lima beans contain cyanide. - One quarter of the human brain is used to control the eyes. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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