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Survey about medications, left, luck, download, teeth and louisiana.

Begin Survey

1. Do you enjoy ethnic foods? Yes No

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

3. Do you belong to a credit union? Yes No

4. Do you have children? Yes No

5. Do you own or drive an SUV or large truck? Yes No

6. Will you visit a doctor this week? Yes No

7. Did you vote in the last Presidential election? Yes No

8. Do you read your horoscope every day? Yes No

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

10. Do you enjoy cat-naps? Yes No

11. Do you have Internet access at home? Yes No

12. Do you brush your teeth before bed each night? Yes No

13. Do you enjoy spicy foods? Yes No

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

15. Have you ever won the lottery? Yes No

16. Do you know how to fly an airplane? Yes No

17. Have you ever traveled by airplane? Yes No

18. Have you ever broken any bones? 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - The Massachusetts state beverage is Cranberry Juice. - Right-handed people live, on average, nine years longer than left-handed people. - The State of Louisiana was named after the French King Louis XIV.

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