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Survey about espresso, medications, relatives, television, corn and kernels.

Begin Survey

1. Do you eat lunch every day? Yes No

2. Do you own a gun? Yes No

3. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

4. Do you brush your teeth before bed each night? Yes No

5. Have you ever borrowed money from a relative? Yes No

6. Do you belong to a credit union? Yes No

7. Do you enjoy watching cooking shows? Yes No

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

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

10. Have you ever taken dance lessons? Yes No

11. Do you have a DVD player? Yes No

12. Do you have road rage? Yes No

13. Do you take any prescribed daily medications? Yes No

14. Do you enjoy science fiction/fantasy movies? Yes No

15. 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - Ears of corn always have an even number of rows of kernels. - A yawn usually lasts for approximately six seconds. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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