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Survey about babies, health, shopping, doctor, flu and winter.

Begin Survey

1. Will you go to the grocery store this week? Yes No

2. Do you subscribe to your local newspaper? Yes No

3. Do you take any prescribed daily medications? Yes No

4. Do you fly an American flag at home? Yes No

5. Have you made your will? Yes No

6. Do you watch Saturday morning cartoons? Yes No

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

8. Do you belong to a labor union? Yes No

9. Do you have an annual check-up or exam with your family doctor? Yes No

10. Do you listen to the radio in the car? Yes No

11. Do you enjoy board games? Yes No

12. Are your immunizations up-to-date? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Tootsie Rolls were the first wrapped penny candy in America. - Babies are born without knee caps. - Lake Michigan is the largest lake in the United States.

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