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Survey about drugs, cooking, blueberry jelly, plants, broken bones and physical activity.

Begin Survey

1. Have you ever broken any bones? Yes No

2. Do you enjoy watching cooking shows? Yes No

3. Do you own a motorcycle? Yes No

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

5. Do you believe in miracles? Yes No

6. Do you smoke cigarettes? Yes No

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

8. Do you use chewing tobacco? Yes No

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

10. Do you have or use a PDA (Personal Digital Assistant)? Yes No

11. Do you know how to fly an airplane? Yes No

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

13. Do you eat lunch every day? Yes No

14. Do you drink diet soda? Yes No

15. Are you a veteran? Yes No

16. Do you believe in karma? Yes No

17. Do you watch Saturday morning cartoons? Yes No

18. Do you listen to talk radio? Yes No

19. Do you shower at least once daily? Yes No

20. Can you whistle? Yes No

21. 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - The Massachusetts state beverage is Cranberry Juice. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The State of Louisiana was named after the French King Louis XIV.

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