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Survey about doctor, snails, pennsylvania, personal ads, children and multi-vitamin.

Begin Survey

1. Will you attend religious services this week? Yes No

2. Do you enjoy hunting or fishing? Yes No

3. Have you ever placed a personals ad? Yes No

4. Do you think you are physically attractive? Yes No

5. Do you follow a vegetarian diet? Yes No

6. Did you vote in the last Presidential election? Yes No

7. Do you have a land-line phone in your home? Yes No

8. Will you buy a lottery ticket this week? Yes No

9. Do you belong to a credit union? Yes No

10. Do you give your children a daily multi-vitamin? Yes No

11. Do you work outside of the home? Yes No

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

13. Will you attend a professional sporting event this month? Yes No

14. Do you follow a low-carb diet? Yes No

15. Will you visit a doctor this week? Yes No

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

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

18. Can you roller-skate, roller-blade, and/or ice-skate? 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: - Theodore Roosevelt was blind in his left eye. - The average French citizen eats 500 snails per year. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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