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Survey about doctor, american flag, chewing tobacco, grandparents, jelly and homes.

Begin Survey

1. Are you a veteran? Yes No

2. Do you subscribe to your local newspaper? Yes No

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

4. Are you satisfied in your current employment? Yes No

5. Are any of your grandparents still alive? Yes No

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

7. Do you have an annual check-up or exam with your family doctor? Yes No

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

9. Would you consider yourself an avid sports fan? Yes No

10. Do you use chewing tobacco? Yes No

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

12. Do you like peanut butter and jelly sandwiches? Yes No

13. Do you brush your teeth after lunch? Yes No

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

15. Do you speak any foreign languages? Yes No

16. Do you have any piercings? Yes No

17. Do you think you are intelligent? Yes No

18. Are you involved in volunteerism? Yes No

19. Do you eat lunch every day? Yes No

20. 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: - Michael Jordan was cut from his high school basketball team his sophomore year. - Americans eat an average of 18 pounds of fresh apples each year. - The human brain stops growing at the age of 18. - Central Park (in New York City) has 125 drinking fountains.

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