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Survey about overall health, trips, roller coasters, morning, phobias and al capone.

Begin Survey

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

2. Do you enjoy roller coasters? Yes No

3. Have you ever been in a car accident? Yes No

4. Did you drink coffee this morning? Yes No

5. Do you speak any foreign languages? Yes No

6. Are you married? Yes No

7. Do you enjoy watching cooking shows? Yes No

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

9. Do you plan on taking a trip by airplane this week? Yes No

10. Have you ever placed a personals ad? Yes No

11. Do you enjoy hot bubble baths? Yes No

12. Do you have any phobias? Yes No

13. Can you drive a stick shift? Yes No

14. Do you have children? Yes No

15. 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: - Al Capone's business card said he was a used furniture dealer. - Nutmeg is extremely poisonous if injected intravenously. - The liquid inside young coconuts can be used as a substitute for blood plasma. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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