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Survey about strawberries, high school, mud puddles, health, flu and beats.

Begin Survey

1. Do you get a flu shot every winter? Yes No

2. Will you buy plants or flowers from a florist this week? Yes No

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

4. Will you go to the grocery store this week? Yes No

5. Do you own a Bible, Koran, or other religious book? Yes No

6. Do you splash in mud puddles? Yes No

7. Do you own at least one pair of blue jeans? Yes No

8. Will you see a play this month? Yes No

9. Have you ever responded to a personals ad? Yes No

10. Do you have any tattoos? Yes No

11. Have you ever traveled by airplane? Yes No

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

13. Do you have a swimming pool? Yes No

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

15. Do you have road rage? Yes No

16. Do you play any musical instruments? Yes No

17. Have you ever gone sky-diving or bungee-jumping? Yes No

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

19. Did you graduate from high school? 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: - James Garfield was the first U.S. president to use a telephone. - Lemons contain more sugar than strawberries. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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