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Survey about central park, monaco, television, cooking, broken bones and low-carb diet.

Begin Survey

1. Do you plan on visiting a comedy club this month? Yes No

2. Do you follow a low-carb diet? Yes No

3. Do you use charge cards? Yes No

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

5. Do you use chewing tobacco? Yes No

6. Have you ever broken any bones? Yes No

7. Do you wear sunscreen every day? Yes No

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

9. Will you attend religious services this week? Yes No

10. Do you enjoy spicy foods? Yes No

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

12. Do you enjoy independent films? Yes No

13. Do you enjoy watching cooking shows? Yes No

14. Will you take any train or subway rides this week? Yes No

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

16. Will you visit a therapist or psychiatrist this week? Yes No

17. Have you ever participated in a focus group? Yes No

18. Do you believe in love at first sight? Yes No

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

20. Did you drink coffee this morning? 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: - Theodore Roosevelt was blind in his left eye. - Apples are a member of the rose family. - Each year, more than 2,500 left-handed people are killed by using products made for right-handed people. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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