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Survey about bed, ho-ho-kus, reading, new jersey, henry ford and fast food.

Begin Survey

1. Have you eaten fast food this week? Yes No

2. Have you ever gone sky-diving or bungee-jumping? Yes No

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

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

5. Do you listen to talk radio? Yes No

6. Do you have a swimming pool? Yes No

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

8. Will you visit a beauty salon this week? Yes No

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

10. Do you give your children a daily multi-vitamin? Yes No

11. Do you enjoy documentary films? Yes No

12. Do you enjoy board games? Yes No

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

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

15. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Lemons contain more sugar than strawberries. - The United States produces more tobacco than it does wheat. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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