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Survey about documentary films, blueberries, muscles, tongue, cellular phones and trips.

Begin Survey

1. Do you enjoy documentary films? Yes No

2. Do you own your own business or work for yourself? Yes No

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

4. Do you plan on visiting a mall this week? Yes No

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

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

7. Do you have a VCR? Yes No

8. Have you ever been tested for HIV? Yes No

9. Do you enjoy hot bubble baths? Yes No

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

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

12. Do you play any organized team sports? Yes No

13. Have you eaten fast food this week? Yes No

14. Do you listen to talk radio? Yes No

15. Do you have any camping trips planned for this summer? Yes No

16. Are your immunizations up-to-date? Yes No

17. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Blueberries have more antioxidants than any other fruit or vegetables. - The tongue is the strongest muscle in the human body. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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