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Survey about ethnic foods, meditation, cigarettes, disasters, chicago and musical instruments.

Begin Survey

1. Do you smoke cigarettes? Yes No

2. Do you drink enough water (6 8-ounce glasses) every day? Yes No

3. Do you practice yoga? Yes No

4. Do you enjoy gambling? Yes No

5. Do you play any musical instruments? Yes No

6. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

7. Will you be taking any road trips this week (over 50 miles)? Yes No

8. Do you belong to a labor union? Yes No

9. Are you a veteran? Yes No

10. Will you visit a hardware or home improvement store this week? Yes No

11. Do you enjoy ethnic foods? Yes No

12. Have you ever been in a car accident? Yes No

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

14. Do you have a DVD player? Yes No

15. Have you ever been in love? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Coca-Cola was the first soft drink to be consumed in outer space. - Your thumb is the same length as your nose. - The Sears Tower in Chicago has its own zip code.

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