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Survey about boats, physical activity, bars, clothes, national parks and golden gate bridge.

Begin Survey

1. Have you ever pilfered office supplies from work? Yes No

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

3. Do you attend regular religious services? Yes No

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

5. Do you enjoy Girl Scout cookies? Yes No

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

7. Do you plan on visiting the public library this week? Yes No

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

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

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

11. Do you have a valid passport? Yes No

12. Do you always wear your safety belt when in a car? Yes No

13. Do you use mouthwash? Yes No

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

15. Have you ever responded to a personals ad? Yes No

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

17. Do you own a boat, camper, or other recreational vehicle? Yes No

18. Have you ever participated in a focus group? Yes No

19. Do you drink milk? Yes No

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

21. 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: - Theodore Roosevelt was blind in his left eye. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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