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Survey about dance lessons, phobias, leonardo da vinci, roller-skating, vegetables and physical activity.

Begin Survey

1. Have you ever taken dance lessons? Yes No

2. Do you have any phobias? Yes No

3. Are you currently attending college or taking adult enrichment classes? Yes No

4. Do you wear a watch every day? Yes No

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

6. Are your immunizations up-to-date? Yes No

7. Do you enjoy hot bubble baths? Yes No

8. Do you own a dictionary and/or thesaurus? Yes No

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

10. Do you enjoy gambling? Yes No

11. Do you think you are intelligent? Yes No

12. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

13. Will you plant a vegetable and/or flower garden this year? Yes No

14. 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: - Leonardo da Vinci invented scissors. - Headache pain can be reduced by eating 20 tart cherries. - During their lifetime, the average human will grow 590 miles of hair. - Central Park (in New York City) has 125 drinking fountains.

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