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Survey about blue jeans, police, health, multi-vitamin, clothes and north america.

Begin Survey

1. Have you ever had a professional massage? Yes No

2. Do you drink enough water (6 8-ounce glasses) every day? Yes No

3. Will you buy plants or flowers from a florist this week? Yes No

4. Do you plan on visiting a mall this week? Yes No

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

6. Do you own at least one pair of blue jeans? Yes No

7. Should government employees be randomly tested for illicit drug use? Yes No

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

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

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

11. Do you believe in miracles? Yes No

12. Do you enjoy television police/crime dramas? Yes No

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

14. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

15. Would you consider yourself an avid sports fan? Yes No

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

17. Do you wear sandals/flip-flops in the summer? Yes No

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

19. Will you visit a casino this week? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The average French citizen eats 500 snails per year. - A sneeze travels at 100 miles per hour. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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