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Survey about hair, languages, dishwashers, vegetables, miracles and contact lenses.

Begin Survey

1. Do you splash in mud puddles? Yes No

2. Do you have any food allergies? Yes No

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

4. Do you believe in miracles? Yes No

5. Do you speak any foreign languages? Yes No

6. Do you enjoy reading non-fiction books for pleasure? Yes No

7. Do you drink diet soda? Yes No

8. Do you take any prescribed daily medications? Yes No

9. Do you enjoy ethnic foods? Yes No

10. Do you use a dishwasher to do your dishes? Yes No

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

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

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

14. Are you a veteran? Yes No

15. Do you ever dye your hair? Yes No

16. Will you visit a casino this week? Yes No

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

18. 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - Blueberries have more antioxidants than any other fruit or vegetables. - In the average lifetime a person will breathe in about 44 pounds of dust. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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