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Survey about chain smoker, jackie kennedy, comics, cranberry juice, yoga and children.

Begin Survey

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

2. Will you be visiting any theme parks this year? Yes No

3. Do you play any organized team sports? Yes No

4. Do you practice yoga? Yes No

5. Do you have a sit-down family dinner every night? Yes No

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

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

8. Do you drink diet soda? Yes No

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

10. Do you wear glasses/contacts? Yes No

11. Do you read the comics? Yes No

12. Do you have a checking account? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The Massachusetts state beverage is Cranberry Juice. - One quarter of the human brain is used to control the eyes. - Hawaii has the only royal palace in the United States – Iolani.

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