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Survey about koran, henry ford, bed, roller coasters, luck and charcoal briquette.

Begin Survey

1. Are any of your grandparents still alive? Yes No

2. Do you enjoy roller coasters? Yes No

3. Do you drink milk? Yes No

4. Do you own a Bible, Koran, or other religious book? Yes No

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

6. Do you subscribe to your local newspaper? Yes No

7. Do you follow a low-carb diet? Yes No

8. Do you have any houseplants? Yes No

9. Have you ever won the lottery? Yes No

10. Have you ever spent more than $100 on a pair of shoes? Yes No

11. Do you wear glasses/contacts? Yes No

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

13. Do you practice yoga? Yes No

14. Do you have an annual check-up or exam with your family doctor? Yes No

15. Will you ride on a bus this week? Yes No

16. Do you have health insurance? Yes No

17. Do you fly an American flag at home? Yes No

18. Do you watch the evening news? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Half of all Americans over the age of 55 have no teeth. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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