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Survey about phobias, dictionary, cooking, rose family, wills and health.

Begin Survey

1. Do you wear sunscreen every day? Yes No

2. Do you have children? Yes No

3. Do you have a VCR? Yes No

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

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

6. Have you ever been in love? Yes No

7. Do you own a first aid kit? Yes No

8. Will you attend religious services this week? Yes No

9. Do you use chewing tobacco? Yes No

10. Do you brush your teeth each morning? Yes No

11. Do you enjoy watching cooking shows? Yes No

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

13. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

14. Do you have any phobias? Yes No

15. Do you get a flu shot every winter? Yes No

16. Have you made your will? Yes No

17. Have you ever spent a day at a spa? Yes No

18. Will you engage in rigorous physical activity at least three times this week? Yes No

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

20. 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Strawberries are a member of the rose family. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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