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Survey about wills, miracles, scurvy, religion, health and dyslexic.

Begin Survey

1. Do you believe in miracles? Yes No

2. Are your immunizations up-to-date? Yes No

3. Do you wear mittens? Yes No

4. Have you made your will? Yes No

5. Do you plan to visit the zoo this year? Yes No

6. Will you go see a new-release movie at a theater this week? Yes No

7. Do you enjoy hot bubble baths? Yes No

8. Do you have any pets? Yes No

9. Do you enjoy spicy foods? Yes No

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

11. Do you have any phobias? Yes No

12. Do you play any organized team sports? Yes No

13. 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: - Leonardo da Vinci was dyslexic. - Apples are a member of the rose family. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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