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Survey about children, roller coasters, baking, physical activity, grocery stores and blue jeans.

Begin Survey

1. Will you go to the grocery store this week? Yes No

2. Do you enjoy roller coasters? Yes No

3. Do you have any siblings? Yes No

4. Do you wear glasses/contacts? Yes No

5. Do you know your cholesterol level? Yes No

6. Do you enjoy Girl Scout cookies? Yes No

7. Will you buy plants or flowers from a florist this week? Yes No

8. Do you play any musical instruments? Yes No

9. Do you enjoy cooking or baking? Yes No

10. Do you enjoy television police/crime dramas? Yes No

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

12. Have you ever won the lottery? Yes No

13. Do you have children? Yes No

14. Will you see a play this month? Yes No

15. Do you have a DVD player? Yes No

16. Have you ever been rock or mountain climbing? Yes No

17. Do you own at least one pair of blue jeans? Yes No

18. 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: - Sonny and Cher originally called themselves Cleo and Caesar. - Ears of corn always have an even number of rows of kernels. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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