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Survey about winter, leonardo da vinci, romance, speed, miracles and floors.

Begin Survey

1. Do you have health insurance? Yes No

2. Can you drive a stick shift? Yes No

3. Do you plan on taking a trip by airplane this week? Yes No

4. Do you plan on visiting the public library this week? Yes No

5. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

7. Do you suffer from seasonal allergies? Yes No

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

9. Will you attend a professional sporting event this month? Yes No

10. Are your parents still married? Yes No

11. Do you believe in miracles? Yes No

12. Do you run the vacuum (or sweep) your floors every day? Yes No

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

14. Have you ever placed a personals ad? Yes No

15. Are you a registered voter? Yes No

16. 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 could write with one hand and draw with the other at the same time. - The Massachusetts state beverage is Cranberry Juice. - A sneeze travels at 100 miles per hour. - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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