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Survey about travel, ronald reagan, car accidents, lawsuits, athletes and contact lenses.

Begin Survey

1. Do you have a checking account? Yes No

2. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

3. Will you order take-out or delivery food from a restaurant this week? Yes No

4. Do you eat breakfast every morning? Yes No

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

6. Do you feel Americans file too many frivolous lawsuits? Yes No

7. Do you suffer from seasonal allergies? Yes No

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

9. Do you have a VCR? Yes No

10. Have you ever traced your family tree? Yes No

11. Will you travel outside of the U.S. this year? Yes No

12. Do you have any piercings? Yes No

13. Do you wear glasses/contacts? Yes No

14. Have you ever been in a car accident? Yes No

15. Do you use chewing tobacco? Yes No

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

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

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

19. 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - The average strawberry has about 200 seeds on it. - The human brain stops growing at the age of 18. - The State of Louisiana was named after the French King Louis XIV.

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