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Survey about cappuccino, doctor, multi-vitamin, cookies, family and digital camera.

Begin Survey

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

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

3. Do you always drive within the posted speed limit? Yes No

4. Do you give your children a daily multi-vitamin? Yes No

5. Do you have any phobias? Yes No

6. Do you enjoy Girl Scout cookies? Yes No

7. Do you have any tattoos? Yes No

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

9. Do you sleep with a pillow at night? Yes No

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

11. Do you own your home? Yes No

12. Do you have any piercings? Yes No

13. Do you brush your teeth before bed each night? Yes No

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

15. Have you ever been in a car accident? Yes No

16. Do you have a checking account? Yes No

17. Do you take a bagged lunch to work every day? Yes No

18. Have you ever been the target of identity theft? Yes No

19. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

20. Do you enjoy card 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:

Your Emailaddress:

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

Fun and Interesting facts: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - Americans spend more on fast food every year than they do on higher education, personal computers and software, or new cars. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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