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Survey about medications, sneeze, children, dishes, multi-vitamin and cars.

Begin Survey

1. Do you watch the evening news? Yes No

2. Do you always wear your safety belt when in a car? Yes No

3. Do you have children? Yes No

4. Do you splash in mud puddles? Yes No

5. Are you a registered voter? Yes No

6. Do you use a dishwasher to do your dishes? Yes No

7. Do you own your own business or work for yourself? Yes No

8. Do you enjoy television police/crime dramas? Yes No

9. Do you have or use an MP3 player? Yes No

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

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

12. Will you be visiting any theme parks this year? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - Americans spend more on fast food every year than they do on higher education, personal computers and software, or new cars. - Between 25% to 33% of people sneeze when they are exposed to light. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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