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Survey about ethnic foods, smoking, dishwashers, blueberry jelly, vcr and physical activity.

Begin Survey

1. Have you ever placed a personals ad? Yes No

2. Will you go to a bar or night club this week? Yes No

3. Do you smoke cigarettes? Yes No

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

5. Do you have a DVD player? Yes No

6. Do you use a dishwasher to do your dishes? Yes No

7. Are you currently attending college or taking adult enrichment classes? Yes No

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

9. Did you vote in the last Presidential election? Yes No

10. Do you enjoy ethnic foods? Yes No

11. Do you own a motorcycle? Yes No

12. Do you have a VCR? Yes No

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

14. Do you believe in Santa Claus? Yes No

15. Are you involved in volunteerism? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Dandelion root can be roasted and ground as a coffee substitute. - The human brain stops growing at the age of 18. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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