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Survey about cacoa, hardware, zoo, coffeine, physical activity and dishwashers.

Begin Survey

1. Do you have health insurance? Yes No

2. Will you visit a hardware or home improvement store this week? Yes No

3. Do you know CPR? Yes No

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

5. Do you own or drive an SUV or large truck? Yes No

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

7. Do you have any tattoos? Yes No

8. Will you attend a college sporting event this month? Yes No

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

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

11. Will you travel outside of the U.S. this year? Yes No

12. Do you have any siblings? Yes No

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

14. Do you plan to visit the zoo this year? Yes No

15. Have you ever been arrested? Yes No

16. Do you ever download movies from the Internet? Yes No

17. Do you have any piercings? Yes No

18. Do you use a dishwasher to do your dishes? Yes No

19. Do you own or use a digital camera? 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: - 20252 is Smokey the Bear's own zip code. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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