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Survey about rattlesnake, disasters, broken bones, travel, mouthwash and work.

Begin Survey

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

2. Do you have any food allergies? Yes No

3. Do you enjoy reading non-fiction books for pleasure? Yes No

4. Do you enjoy roller coasters? Yes No

5. Do you know how to fly an airplane? Yes No

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

7. Do you enjoy watching cooking shows? Yes No

8. Do you subscribe to your local newspaper? Yes No

9. Do you use mouthwash? Yes No

10. Do you believe in miracles? Yes No

11. Do you plan on performing any community service this week? Yes No

12. Have you ever broken any bones? Yes No

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

14. Do you have or use a PDA (Personal Digital Assistant)? Yes No

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

16. Will you travel outside of the U.S. this year? Yes No

17. Do you take a bagged lunch to work every day? Yes No

18. Have you ever eaten rattlesnake meat? Yes No

19. Do you give your children a daily multi-vitamin? 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: - Ralph Lauren's original name is Ralph Lifshitz. - The average American eats approximately 20 pounds of pasta each year. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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