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Survey about seasonal allergies, holidays, election, concerts, mountain climbing and birthdays.

Begin Survey

1. Do you suffer from seasonal allergies? Yes No

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

3. Have you ever been rock or mountain climbing? Yes No

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

5. Do you plan to visit any U.S. National Parks this year? Yes No

6. Do you know your cholesterol level? Yes No

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

8. Have you ever spent a day at a spa? Yes No

9. Have you ever broken any bones? Yes No

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

11. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

12. Do you have any phobias? Yes No

13. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

14. Do you have any piercings? Yes No

15. Do you have any pets? Yes No

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

17. Will you visit a beauty salon this week? Yes No

18. Do you attend regular religious services? Yes No

19. Will you go to a concert this week? 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: - Houdini was the first man to fly a plane solo in Australia. - The onion is named after a Latin word meaning large pearl. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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