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Survey about doctors, jail, morning, thumb, hands and subways.

Begin Survey

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

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

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

4. Do you have a VCR? Yes No

5. Are you left-handed? Yes No

6. Will you take any train or subway rides this week? Yes No

7. Do you have or use a cellular phone? Yes No

8. Do you own a first aid kit? Yes No

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

10. Have you ever broken any bones? Yes No

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

12. Will you visit a therapist or psychiatrist this week? Yes No

13. Did you drink coffee this morning? Yes No

14. Do you know your cholesterol level? Yes No

15. Have you ever been arrested? Yes No

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

17. Do you plan on taking a trip by airplane this week? Yes No

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

19. Do you have any siblings? 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: - Ralph Lauren's original name is Ralph Lifshitz. - Lima beans contain cyanide. - Your thumb is the same length as your nose. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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