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Survey about spicy food, falling coconuts, insurance plans, jail, luggage and parents.

Begin Survey

1. Have you ever been arrested? Yes No

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

3. Have you ever traveled by airplane? Yes No

4. Will you ride on a bus this week? Yes No

5. Do you enjoy spicy foods? Yes No

6. Will you visit a therapist or psychiatrist this week? Yes No

7. Have you eaten fast food this week? Yes No

8. Do you use mouthwash? Yes No

9. Are your parents still married? Yes No

10. Do you suffer from seasonal allergies? Yes No

11. Do you own a matching set of luggage? Yes No

12. Will you engage in rigorous physical activity at least three times this week? Yes No

13. Do you enjoy documentary films? Yes No

14. Will you rent a DVD or video this weekend? Yes No

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

16. Do you brush your teeth each morning? Yes No

17. 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: - Michael Jordan was cut from his high school basketball team his sophomore year. - Headache pain can be reduced by eating 20 tart cherries. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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