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Survey about science fiction, hunting, doctor, fantasy, charity and first aid.

Begin Survey

1. Do you get between 7 to 10 hours of sleep each night? Yes No

2. Do you enjoy hunting or fishing? Yes No

3. Have you ever broken any bones? Yes No

4. Do you follow a low-carb diet? Yes No

5. Do you contribute money to any charitable organizations? Yes No

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Do you have road rage? Yes No

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

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

10. Do you always drive within the posted speed limit? Yes No

11. Do you use online banking? Yes No

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

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

14. Do you know your cholesterol level? Yes No

15. Do you enjoy science fiction/fantasy movies? Yes No

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

17. Do you enjoy board games? Yes No

18. Do you have a savings account? Yes No

19. Will you see a play this month? 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. - Tomatoes were thought to be poisonous at one time. - 15% of Americans secretly bite their toes. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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