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Survey about 1967, teeth, focus groups, veterans, reading and coffee house.

Begin Survey

1. Will you visit a therapist or psychiatrist this week? Yes No

2. Will you engage in rigorous physical activity at least three times this week? Yes No

3. Do you shower at least once daily? Yes No

4. Do you work outside of the home? Yes No

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

6. Do you brush your teeth before bed each night? Yes No

7. Do you get between 7 to 10 hours of sleep each night? Yes No

8. Do enjoy reading or writing poetry? Yes No

9. Are you a veteran? Yes No

10. Do you use online banking? Yes No

11. Do you ever use a tanning bed? Yes No

12. Do you belong to a credit union? Yes No

13. Do you enjoy reading non-fiction books for pleasure? Yes No

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

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

16. Are you involved in volunteerism? Yes No

17. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

18. Have you ever traveled by airplane? Yes No

19. Have you ever participated in a focus group? Yes No

20. 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: - Michael Jordan was cut from his high school basketball team his sophomore year. - Americans eat more than 22 pounds of tomatoes every year. - Neanderthal man had a brain capacity 100cc larger than modern man. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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