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Survey about mountain climbing, houseplants, grandparents, garden, taste buds and pets.

Begin Survey

1. Do you have any pets? Yes No

2. Do you own a motorcycle? Yes No

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

4. Do you have any houseplants? Yes No

5. Will you see a play this month? Yes No

6. Do you own your home? Yes No

7. Do you think you are intelligent? Yes No

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

9. Do you know your cholesterol level? Yes No

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

11. Do you give your children a daily multi-vitamin? Yes No

12. Will you plant a vegetable and/or flower garden this year? Yes No

13. Do you have any tattoos? Yes No

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

15. Will you visit a casino this week? Yes No

16. Are your immunizations up-to-date? Yes No

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

18. Have you ever spent more than $100 on a pair of shoes? 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: - James Garfield was the first U.S. president to use a telephone. - 50% of pizzas sold in the U.S. have pepperoni on them. - By the age of 60, most people have lost 50% of their taste buds. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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