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Survey about broken bones, doctor, food, allergy, popeye and sleep.

Begin Survey

1. Do you have any food allergies? Yes No

2. Have you ever broken any bones? Yes No

3. Have you ever placed a personals ad? Yes No

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

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

6. Will you buy a lottery ticket this week? Yes No

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

8. Will you go to a concert this week? Yes No

9. Have you graduated from (or finished) college? Yes No

10. Do you enjoy Girl Scout cookies? Yes No

11. Do you get between 7 to 10 hours of sleep each night? Yes No

12. Do you watch Saturday morning cartoons? Yes No

13. 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: - Ralph Lauren's original name is Ralph Lifshitz. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - The average American consumes 9 pounds of food additives every year. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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