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Survey about mud puddles, babies, attractive, albert einstain, birthdays and holidays.

Begin Survey

1. Do you wear sunscreen every day? Yes No

2. Have you ever broken any bones? Yes No

3. Will you buy plants or flowers from a florist this week? Yes No

4. Can you drive a stick shift? Yes No

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

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Do you know your cholesterol level? Yes No

8. Do you splash in mud puddles? Yes No

9. Do you have any pets? Yes No

10. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

11. Do you think you are physically attractive? Yes No

12. Are you satisfied in your current employment? Yes No

13. Are you a registered voter? Yes No

14. Do you use online banking? Yes No

15. Do you have any houseplants? Yes No

16. Do you take any prescribed daily medications? 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: - Albert Einstein never wore any socks. - Non-dairy creamer is flammable. - Babies are born without knee caps. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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