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Survey about speed, safety belt, nevada, leonardo da vinci, newspapers and cologne.

Begin Survey

1. Do you have children? Yes No

2. Do you always wear your safety belt when in a car? Yes No

3. Have you ever been arrested? Yes No

4. Do you ever dye your hair? Yes No

5. Do you have any food allergies? Yes No

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

7. Do you play any musical instruments? Yes No

8. Do you wear cologne or perfume every day? Yes No

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

10. Do you use online banking? Yes No

11. Do you splash in mud puddles? Yes No

12. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

13. Do you keep an umbrella in your car? Yes No

14. 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 could write with one hand and draw with the other at the same time. - Nutmeg is extremely poisonous if injected intravenously. - A sneeze travels at 100 miles per hour. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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