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Survey about love, attractive, multi-vitamin, charge cards, broken bones and video games.

Begin Survey

1. Do you have any houseplants? Yes No

2. Do you use charge cards? Yes No

3. Would you consider yourself an avid sports fan? Yes No

4. Do you have any food allergies? Yes No

5. Do you take a daily multi-vitamin? Yes No

6. Do you have any camping trips planned for this summer? Yes No

7. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

8. Do you think you are physically attractive? Yes No

9. Do you believe in love at first sight? Yes No

10. Do you enjoy playing video games? Yes No

11. Have you ever broken any bones? Yes No

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

13. Do you believe in Santa Claus? Yes No

14. 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 could write with one hand and draw with the other at the same time. - The average strawberry has about 200 seeds on it. - Men are 6 times more likely to be struck by lightning than women. - In Washington D.C., no building may be built taller than the Washington Monument.

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