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Survey about smell, overall health, wills, boats, drinking age and henry ford.

Begin Survey

1. Do you enjoy gambling? Yes No

2. Do you have health insurance? Yes No

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

4. Do you suffer from seasonal allergies? Yes No

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

6. Do you have a valid passport? Yes No

7. Do you own a boat, camper, or other recreational vehicle? Yes No

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

9. Do you play any musical instruments? Yes No

10. Do you have Internet access at home? Yes No

11. Do you play any organized team sports? Yes No

12. Do you take any prescribed daily medications? Yes No

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

14. Have you made your will? Yes No

15. Do you sleep with a pillow at night? Yes No

16. Would you consider yourself to be in good overall health? Yes No

17. Can you whistle? Yes No

18. Do you enjoy independent films? Yes No

19. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Onions have no flavor, only a smell. - The United States has the highest minimum drinking age in the world. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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