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Survey about espresso, motorcycles, cellular phones, headache pain, travel and hunting.

Begin Survey

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

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

3. Do you own a motorcycle? Yes No

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

5. Do you enjoy cat-naps? Yes No

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

7. Have you ever spent a day at a spa? Yes No

8. Will you be staying at a hotel this week? Yes No

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

10. Do you attend regular religious services? Yes No

11. Do you enjoy hunting or fishing? Yes No

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

13. Will you travel outside of the U.S. this year? Yes No

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

15. Do you sleep with a pillow at night? Yes No

16. 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: - Leonardo da Vinci invented scissors. - Headache pain can be reduced by eating 20 tart cherries. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The State of Louisiana was named after the French King Louis XIV.

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