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Survey about dust, breathe, capitol building, bunny, al capone and blue jeans.

Begin Survey

1. Do you know CPR? Yes No

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

3. Have you ever been less than honest on your resume? Yes No

4. Have you ever won the lottery? Yes No

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

6. Do you use chewing tobacco? Yes No

7. Do you like peanut butter and jelly sandwiches? Yes No

8. Do you enjoy documentary films? Yes No

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

10. Do you have a sit-down family dinner every night? Yes No

11. Do you enjoy ethnic foods? Yes No

12. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

13. Do you wear a watch every day? Yes No

14. Do you like chocolate? Yes No

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

16. Do you own a pair of fuzzy bunny slippers? Yes No

17. Do you own at least one pair of blue jeans? Yes No

18. Will you go to the grocery store this week? Yes No

19. Do you brush your teeth after lunch? 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: - Al Capone's business card said he was a used furniture dealer. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - In the average lifetime a person will breathe in about 44 pounds of dust. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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