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Survey about medications, cholesterol, allergy, eisenhower, psychiatrists and movies.

Begin Survey

1. Do you own a boat, camper, or other recreational vehicle? Yes No

2. Do you enjoy hunting or fishing? Yes No

3. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

4. Have you ever been rock or mountain climbing? Yes No

5. Do you wear sunscreen every day? Yes No

6. Do you know your cholesterol level? Yes No

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

8. Do you own your home? Yes No

9. Will you consume any alcoholic beverages this weekend? Yes No

10. Do you ever download movies from the Internet? Yes No

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

12. Are you a veteran? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Dandelion root can be roasted and ground as a coffee substitute. - More children are allergic to cockroaches than cats - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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