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Survey about grocery stores, coupons, wills, disasters, tornados and roller-skating.

Begin Survey

1. Have you ever been in love? Yes No

2. Did you drink coffee this morning? Yes No

3. Do you eat lunch every day? Yes No

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

5. Can you whistle? Yes No

6. Will you order take-out or delivery food from a restaurant this week? Yes No

7. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

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

9. Do you watch Saturday morning cartoons? Yes No

10. Have you made your will? Yes No

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

12. Do you eat breakfast every morning? Yes No

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

14. Have you ever spent more than $100 on a pair of shoes? Yes No

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

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

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

18. 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Onions have no flavor, only a smell. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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