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Survey about doctor, water, independent films, vegetables, work and overall health.

Begin Survey

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

2. Do you have children? Yes No

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

4. Would you consider yourself to be in good overall health? Yes No

5. Do you enjoy documentary films? Yes No

6. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

7. Do you enjoy independent films? Yes No

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

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

10. Will you rent a DVD or video this weekend? Yes No

11. Will you visit a casino this week? Yes No

12. Do you enjoy Girl Scout cookies? Yes No

13. Have you ever traveled by airplane? Yes No

14. Do you speak any foreign languages? Yes No

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

16. 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - Blueberries have more antioxidants than any other fruit or vegetables. - A sneeze travels at 100 miles per hour. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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