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Survey about cologne, physical activity, david copperfield, marriage, new jersey and drinking age.

Begin Survey

1. Do you wear cologne or perfume every day? Yes No

2. Do you know how to fly an airplane? Yes No

3. Do you smoke cigarettes? Yes No

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

5. Do you speak any foreign languages? Yes No

6. Do you use chewing tobacco? Yes No

7. Are you involved in volunteerism? Yes No

8. Do you enjoy documentary films? Yes No

9. Do you take any prescribed daily medications? Yes No

10. Do you have Internet access at home? Yes No

11. Do you wear sunscreen every day? Yes No

12. Are you married? Yes No

13. Can you whistle? Yes No

14. Do you have health insurance? Yes No

15. Will you ride on a bus this week? Yes No

16. Do you follow a low-carb diet? 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: - More people have seen David Copperfield perform live than any other performer in the world. - The average strawberry has about 200 seeds on it. - The United States has the highest minimum drinking age in the world. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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