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Survey about road rage, teeth, music, broken bones, wills and drugs.

Begin Survey

1. Have you ever been the target of identity theft? Yes No

2. Do you watch Saturday morning cartoons? Yes No

3. Can you whistle? Yes No

4. Have you ever been less than honest on your resume? Yes No

5. Do you enjoy reality television? Yes No

6. Did you drink coffee this morning? Yes No

7. Do you know your cholesterol level? Yes No

8. Have you ever pilfered office supplies from work? Yes No

9. Have you made your will? Yes No

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

11. Did you graduate from high school? Yes No

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

13. Do you have road rage? Yes No

14. Do you enjoy cat-naps? Yes No

15. Will you buy a lottery ticket this week? Yes No

16. Do you own a gun? Yes No

17. Do you plan to visit the zoo this year? Yes No

18. Will you attend a professional sporting event this month? Yes No

19. Would you consider yourself an avid sports fan? Yes No

20. Have you ever broken any bones? Yes No

21. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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