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Survey about children, multi-vitamin, glasses, beans, health and homes.

Begin Survey

1. Do you work outside of the home? Yes No

2. Do you eat breakfast every morning? Yes No

3. Do you have any camping trips planned for this summer? Yes No

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

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

6. Do you ever use a tanning bed? Yes No

7. Do you drink enough water (6 8-ounce glasses) every day? Yes No

8. Do you wear glasses/contacts? Yes No

9. Do you enjoy card games? Yes No

10. Do you know your cholesterol level? Yes No

11. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

12. Do you enjoy hot bubble baths? 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. - Lima beans contain cyanide. - Every year about 98% of atoms in the human body are replaced. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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