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Survey about ethnic foods, card games, broken bones, passports, checking account and subways.

Begin Survey

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

2. Do you get a flu shot every winter? Yes No

3. Do you wear sunscreen every day? Yes No

4. Do you enjoy ethnic foods? Yes No

5. Do you have Internet access at home? Yes No

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

7. Do you have a valid passport? Yes No

8. Have you ever broken any bones? Yes No

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

10. Do you always drive within the posted speed limit? Yes No

11. Will you visit a casino this week? Yes No

12. Have you ever eaten fried green tomatoes? Yes No

13. Do you enjoy card games? Yes No

14. Do you attend regular religious services? Yes No

15. Do you have a checking account? Yes No

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

17. Do you have health insurance? Yes No

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

19. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Blueberries have more antioxidants than any other fruit or vegetables. - Only 1 person in 2 billion will live to be 116. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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