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Survey about fortune cookies, heart rate, white house, smoking, videos and cholesterol.

Begin Survey

1. Do you smoke cigarettes? Yes No

2. Do you believe in Santa Claus? Yes No

3. Do you know your cholesterol level? Yes No

4. Do you belong to any professional organizations? Yes No

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

6. Do you believe in miracles? Yes No

7. Are you satisfied in your current employment? Yes No

8. Have you ever been rock or mountain climbing? Yes No

9. Do you have any camping trips planned for this summer? Yes No

10. Do you play any organized team sports? Yes No

11. Do you wear mittens? Yes No

12. Do you drink diet soda? Yes No

13. Will you buy a lottery ticket this week? Yes No

14. Do you always wear your safety belt when in a car? Yes No

15. Will you rent a DVD or video this weekend? Yes No

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

17. 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. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Your heart rate can rise as much as 30% during a yawn. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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