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Survey about hardware, family, cocaine, niagara falls, law and delivery food.

Begin Survey

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

2. Do your children attend public schools? Yes No

3. Will you visit a hardware or home improvement store this week? Yes No

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

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

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

7. Do you use mouthwash? Yes No

8. Do you always drive within the posted speed limit? Yes No

9. Do you follow a vegetarian diet? Yes No

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

11. Do you have children? Yes No

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

13. Do you have any food allergies? Yes No

14. Do you have a sit-down family dinner every night? Yes No

15. Do you have cable or satellite television? Yes No

16. Do you have health insurance? Yes No

17. Have you ever been in a car accident? 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: - Theodore Roosevelt was blind in his left eye. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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