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Survey about speed limit, law, love, fruit, airplanes and medications.

Begin Survey

1. Have you ever traveled by airplane? Yes No

2. Do you enjoy reality television? Yes No

3. Do you take a daily multi-vitamin? Yes No

4. Do you drink milk? Yes No

5. Do you have any piercings? Yes No

6. Do you wear mittens? Yes No

7. Do you listen to the radio in the car? Yes No

8. Do you attend regular religious services? Yes No

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

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

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

12. Do you have any phobias? Yes No

13. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

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

15. Do you have a savings account? Yes No

16. Do you believe in miracles? Yes No

17. Are your parents still married? Yes No

18. Do you believe in love at first sight? Yes No

19. Will you ride on a bus 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Blueberries have more antioxidants than any other fruit or vegetables. - Women blink nearly twice as much as men. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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