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Survey about charge cards, concerts, 100 years, doctors, vehicle and radio.

Begin Survey

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

2. Will you visit a beauty salon this week? Yes No

3. Will you go to a concert this week? Yes No

4. Would you consider yourself to be in good overall health? Yes No

5. Do you own a first aid kit? Yes No

6. Have you ever been tested for HIV? Yes No

7. Do you ever dye your hair? Yes No

8. Do you play any musical instruments? Yes No

9. Do you enjoy classical music? Yes No

10. Will you visit a doctor this week? Yes No

11. Do you own a boat, camper, or other recreational vehicle? Yes No

12. Do you use charge cards? Yes No

13. Have you ever cut your own hair? Yes No

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

15. Do you fly an American flag at home? Yes No

16. Do you listen to the radio in the car? Yes No

17. 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. - Onions have no flavor, only a smell. - 80% of people over 100 years old are women. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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