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Survey about umbrella, hair, religion, overall health, spicy food and summer.

Begin Survey

1. Do you have any food allergies? Yes No

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

3. Are any of your grandparents still alive? Yes No

4. Would you consider yourself to be in good overall health? Yes No

5. Do you attend regular religious services? Yes No

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

7. Can you drive a stick shift? Yes No

8. Do you plan on visiting a comedy club this month? Yes No

9. Will you plant a vegetable and/or flower garden this year? Yes No

10. Do you enjoy spicy foods? Yes No

11. Have you ever cut your own hair? Yes No

12. Do you wear sandals/flip-flops in the summer? Yes No

13. Do you ever dye your hair? Yes No

14. Have you made your will? Yes No

15. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

16. Are you a registered voter? Yes No

17. Do you enjoy television police/crime dramas? Yes No

18. Do you belong to a labor union? 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: - Mr. Rogers was an ordained minister. - Tootsie Rolls were the first wrapped penny candy in America. - More people have a phobia of frogs than rats. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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