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Survey about online banking, nevada, road trips, documentary films, siblings and broken bones.

Begin Survey

1. Have you ever broken any bones? Yes No

2. Do you have road rage? Yes No

3. Do you use online banking? Yes No

4. Have you eaten fast food this week? Yes No

5. Do you get between 7 to 10 hours of sleep each night? Yes No

6. Do you enjoy ethnic foods? Yes No

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

8. Did you graduate from high school? Yes No

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

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

11. Do enjoy reading or writing poetry? Yes No

12. Do you have any siblings? Yes No

13. Do you enjoy playing video games? Yes No

14. Do you like chocolate? Yes No

15. Will you be staying at a hotel this week? Yes No

16. Would you consider yourself to be in good overall health? Yes No

17. Do you own a dictionary and/or thesaurus? Yes No

18. Do you enjoy documentary films? Yes No

19. Will you be taking any road trips this week (over 50 miles)? Yes No

20. Do you own a pair of fuzzy bunny slippers? Yes No

21. 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: - Deborah Winger did the voice of E.T. - Coca-Cola was the first soft drink to be consumed in outer space. - More children are allergic to cockroaches than cats - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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