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Survey about graduation, download, health insurance, dishes, attractive and glasses.

Begin Survey

1. Do you listen to the radio in the car? Yes No

2. Do you think you are physically attractive? Yes No

3. Do you smoke cigarettes? Yes No

4. Have you graduated from (or finished) college? Yes No

5. Have you ever broken any bones? Yes No

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

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

8. Do you take a bagged lunch to work every day? Yes No

9. Do you know your cholesterol level? Yes No

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

11. Do you ever download movies from the Internet? Yes No

12. Do you have a valid passport? Yes No

13. Do you own a Bible, Koran, or other religious book? Yes No

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

15. Do you believe in love at first sight? Yes No

16. Do you wear glasses/contacts? Yes No

17. Do you use chewing tobacco? Yes No

18. Do you have health insurance? Yes No

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

20. Do you splash in mud puddles? Yes No

21. 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: - Betsy Ross was born with a fully formed set of teeth. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Your thumb is the same length as your nose. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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