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Survey about fantasy, physical activity, languages, cocaine, drugs and coupons.

Begin Survey

1. Will you visit a doctor this week? Yes No

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

3. Have you ever had a professional massage? Yes No

4. Will you use a coupon for any of your purchases this week? Yes No

5. Are any of your grandparents still alive? Yes No

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

7. Have you made your will? Yes No

8. Do you play any musical instruments? Yes No

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

10. Do you brush your teeth after lunch? Yes No

11. Do you own your own business or work for yourself? Yes No

12. Do you enjoy spicy foods? Yes No

13. Do you plan to visit any U.S. National Parks this year? Yes No

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

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

16. Do you speak any foreign languages? Yes No

17. Will you attend a college sporting event this month? Yes No

18. Do you know your cholesterol level? Yes No

19. Did you graduate from high school? Yes No

20. 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: - Daniel Boone hated coonskin caps. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - In Washington D.C., no building may be built taller than the Washington Monument.

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