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Survey about health, hair, australia, medications, foreigners and languages.

Begin Survey

1. Do you speak any foreign languages? Yes No

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

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

4. Do you have children? Yes No

5. Do you enjoy card games? Yes No

6. Have you ever had a professional massage? Yes No

7. Are your immunizations up-to-date? Yes No

8. Have you ever traced your family tree? Yes No

9. Have you ever broken any bones? Yes No

10. Do you enjoy watching cooking shows? Yes No

11. Do you brush your teeth after lunch? Yes No

12. Do you have health insurance? Yes No

13. 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: - Houdini was the first man to fly a plane solo in Australia. - The average strawberry has about 200 seeds on it. - Between 25% to 33% of people sneeze when they are exposed to light. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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