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Survey about road rage, soft drinks, health, coffeine, bible and coffee.

Begin Survey

1. Do you drink diet soda? Yes No

2. Did you vote in the last Presidential election? Yes No

3. Have you ever traveled by airplane? Yes No

4. Do you brush your teeth before bed each night? Yes No

5. Do you shower at least once daily? Yes No

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

7. Do you watch Saturday morning cartoons? Yes No

8. Do you own a Bible, Koran, or other religious book? Yes No

9. Have you ever been tested for HIV? Yes No

10. Do you know CPR? Yes No

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

12. Do you have road rage? Yes No

13. 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: - James Garfield was the first U.S. president to use a telephone. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - A yawn usually lasts for approximately six seconds. - The swimming pool at the Biltmore Hotel in Coral Gables, Florida is the largest in the continental United States. It covers a half acre and holds 600,000 gallons of water.

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