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Survey about doctor, latte, delivery food, birthdays, holidays and health.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

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

3. Have you ever been arrested? Yes No

4. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

6. Did you drink coffee this morning? Yes No

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

8. Have you ever traced your family tree? Yes No

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

10. Do you get a flu shot every winter? Yes No

11. Will you order take-out or delivery food from a restaurant this week? Yes No

12. Have you made your will? Yes No

13. Do you plan on visiting the public library this week? Yes No

14. Do you wear mittens? Yes No

15. Have you graduated from (or finished) college? Yes No

16. Have you ever gone sky-diving or bungee-jumping? Yes No

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

18. Do you watch Saturday morning cartoons? Yes No

19. 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 American eats approximately 20 pounds of pasta each year. - A blink lasts approximately 0.3 seconds. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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