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Survey about belgravia skating rink, national parks, meditation, coffee, television and drug use.

Begin Survey

1. Do you have or use a cellular phone? Yes No

2. Have you ever been tested for HIV? Yes No

3. Do you drink diet soda? Yes No

4. Do you plan to visit any U.S. National Parks this year? Yes No

5. Do you know CPR? Yes No

6. Do you enjoy hunting or fishing? Yes No

7. Do you wear sunscreen every day? Yes No

8. Do you have health insurance? Yes No

9. Do you ever dye your hair? Yes No

10. Do you practice yoga? Yes No

11. Do you smoke cigarettes? Yes No

12. Do you enjoy watching cooking shows? Yes No

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

14. Do you have any siblings? Yes No

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

16. Do you read the comics? Yes No

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

18. Do you enjoy gambling? 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: - More people have seen David Copperfield perform live than any other performer in the world. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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