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Survey about cacoa, christmas, coffeine, health, aspirin and drugs.

Begin Survey

1. Do you shower at least once daily? Yes No

2. Do you have health insurance? Yes No

3. Do you enjoy hot bubble baths? Yes No

4. Do you use chewing tobacco? Yes No

5. Are your immunizations up-to-date? Yes No

6. Do you believe in Santa Claus? Yes No

7. Do you plan on performing any community service this week? Yes No

8. Have you ever eaten rattlesnake meat? Yes No

9. Do you enjoy Girl Scout cookies? Yes No

10. Do you know your cholesterol level? Yes No

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

12. Do you belong to any professional organizations? Yes No

13. Do you enjoy playing video games? Yes No

14. Do you have any siblings? Yes No

15. Do you like chocolate? Yes No

16. 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: - Mickey Mouse was the first non-human to win an Academy Award (Oscar). - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Central Park (in New York City) has 125 drinking fountains.

Related Content: coffeine health cacoa AND health

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