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Survey about wilma flintstones, smoking, allergy, honesty, arizona and aspirin.

Begin Survey

1. Will you take any train or subway rides this week? Yes No

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

3. Do you have any food allergies? Yes No

4. Do you brush your teeth each morning? Yes No

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

6. Do you like peanut butter and jelly sandwiches? Yes No

7. Have you ever eaten rattlesnake meat? Yes No

8. Do you plan to visit any U.S. National Parks this year? Yes No

9. Do you have a VCR? Yes No

10. Do you use a dishwasher to do your dishes? Yes No

11. Do you smoke cigarettes? Yes No

12. Will you be staying at a hotel this week? Yes No

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

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

15. Have you ever been less than honest on your income tax return? Yes No

16. Do you drink diet soda? Yes No

17. 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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