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Survey about health, bed, rattlesnake, golden gate bridge, walt disney and mickey mouse.

Begin Survey

1. Will you buy plants or flowers from a florist this week? Yes No

2. Do you play any musical instruments? Yes No

3. Do you enjoy hunting or fishing? Yes No

4. Do you enjoy classical music? Yes No

5. Do you ever download movies from the Internet? Yes No

6. Have you ever eaten rattlesnake meat? Yes No

7. Do you ever use a tanning bed? Yes No

8. Will you engage in rigorous physical activity at least three times this week? Yes No

9. Have you ever been in a car accident? Yes No

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

11. Are you married? Yes No

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

13. Will you order take-out or delivery food from a restaurant this week? Yes No

14. Do you use online banking? Yes No

15. 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, the creator of Mickey Mouse, was afraid of mice. - A ripe cranberry will bounce. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The Golden Gate Bridge was first opened in 1937.

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