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Survey about body, movies, poisonous, umbrella, shopping and business.

Begin Survey

1. Do you have any pets? Yes No

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

3. Do you take a daily multi-vitamin? Yes No

4. Do you own or use a digital camera? Yes No

5. Do you enjoy independent films? Yes No

6. Do you own your own business or work for yourself? Yes No

7. Will you go see a new-release movie at a theater this week? Yes No

8. Do you enjoy reality television? Yes No

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

10. Will you go to the grocery store this week? Yes No

11. Do you attend regular religious services? Yes No

12. Do you have any siblings? Yes No

13. Do you keep an umbrella in your car? Yes No

14. Do you splash in mud puddles? Yes No

15. Do you run the vacuum (or sweep) your floors every day? Yes No

16. Have you ever been arrested? Yes No

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

18. Have you ever eaten rattlesnake meat? Yes No

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

20. Do you enjoy playing video games? 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:

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Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - 20252 is Smokey the Bear's own zip code. - Tomatoes were thought to be poisonous at one time. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The Golden Gate Bridge was first opened in 1937.

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