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Survey about swimming pools, coffee, cars, lunch, cyanide and first aid.

Begin Survey

1. Do you have a swimming pool? Yes No

2. Do you have a land-line phone in your home? Yes No

3. Do you have an annual check-up or exam with your family doctor? Yes No

4. Have you ever broken any bones? Yes No

5. Do you have any food allergies? Yes No

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

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

8. Do you ever download music from the Internet? Yes No

9. Do you own a first aid kit? Yes No

10. Will you attend religious services this week? Yes No

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

12. Do you have a checking account? Yes No

13. Do you watch the evening news? Yes No

14. Did you drink coffee this morning? Yes No

15. Do you believe in karma? Yes No

16. Do you eat lunch every day? Yes No

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

18. Do you belong to a credit union? Yes No

19. Do you wear sandals/flip-flops in the summer? 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: - Mr. Rogers was an ordained minister. - Lima beans contain cyanide. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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