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Survey about meat, pepperoni, health insurance, mouthwash, miracles and grandparents.

Begin Survey

1. Will you visit a therapist or psychiatrist this week? Yes No

2. Do you have health insurance? Yes No

3. Do you use mouthwash? Yes No

4. Do you enjoy hot bubble baths? Yes No

5. Do you belong to a labor union? Yes No

6. Have you ever been arrested? Yes No

7. Do you eat breakfast every morning? Yes No

8. Should government employees be randomly tested for illicit drug use? Yes No

9. Have you ever eaten rattlesnake meat? Yes No

10. Do you have any piercings? Yes No

11. Do you sleep with a pillow at night? Yes No

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

13. Do you wear a watch every day? Yes No

14. Have you ever responded to a personals ad? Yes No

15. Do you believe in miracles? Yes No

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

17. 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: - Betsy Ross was born with a fully formed set of teeth. - 50% of pizzas sold in the U.S. have pepperoni on them. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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