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Survey about bed, theater, grandparents, cookies, dinner and babe ruth.

Begin Survey

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

2. Will you go to a bar or night club this week? Yes No

3. Will you be taking any road trips this week (over 50 miles)? Yes No

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

5. Will you use a coupon for any of your purchases this week? Yes No

6. Do you know CPR? Yes No

7. Do you have a DVD player? Yes No

8. Do you have a sit-down family dinner every night? Yes No

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

10. Are any of your grandparents still alive? Yes No

11. Do you own your home? Yes No

12. Will you balance your checkbook this week? Yes No

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

14. Do you sleep with a pillow at night? Yes No

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

16. Do you enjoy Girl Scout cookies? Yes No

17. Will you see a play this month? Yes No

18. Have you ever broken any bones? Yes No

19. 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: - Babe Ruth wore No. 3 because he batted third. - Ears of corn always have an even number of rows of kernels. - The storage capacity of human brain exceeds 4 terrabytes. - It takes 570 gallons of white paint to cover the outside of the White House.

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