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Survey about road rage, take-out, dyslexic, travel, health insurance and meditation.

Begin Survey

1. Do you have road rage? Yes No

2. Will you consume any alcoholic beverages this weekend? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Have you ever participated in a focus group? Yes No

5. Do you have health insurance? Yes No

6. Do you believe in miracles? Yes No

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

8. Will you order take-out or delivery food from a restaurant this week? Yes No

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

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

11. Have you ever broken any bones? Yes No

12. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

13. Do you fly an American flag at home? Yes No

14. Do you own or drive an SUV or large truck? Yes No

15. Do you practice yoga? Yes No

16. Do you wear mittens? Yes No

17. Are you currently attending college or taking adult enrichment classes? Yes No

18. Do you enjoy roller coasters? Yes No

19. Did you drink coffee this morning? 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: - Leonardo da Vinci was dyslexic. - Nutmeg is extremely poisonous if injected intravenously. - Every year about 98% of atoms in the human body are replaced. - There are 10 towns/cities named Hollywood in the United States.

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