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Survey about health, road rage, wills, cyanide, flu and trips.

Begin Survey

1. Have you made your will? Yes No

2. Do you have or use an MP3 player? Yes No

3. Have you ever been arrested? Yes No

4. Do enjoy reading or writing poetry? Yes No

5. Have you ever participated in a focus group? Yes No

6. Do you have road rage? Yes No

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

8. Do you eat breakfast every morning? Yes No

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

10. Do you enjoy hunting or fishing? Yes No

11. Do you have any pets? Yes No

12. Do you enjoy board games? Yes No

13. Do you use mouthwash? Yes No

14. Do you plan on taking a trip by airplane this week? Yes No

15. Have you ever traveled by airplane? Yes No

16. Do you plan to visit the zoo this year? Yes No

17. Do you attend regular religious services? Yes No

18. Do you have any phobias? Yes No

19. 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: - Leonardo da Vinci was dyslexic. - Lima beans contain cyanide. - More children are allergic to cockroaches than cats - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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