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Survey about health, allergy, children, coupons, music and selling.

Begin Survey

1. Do you enjoy gambling? Yes No

2. Do you enjoy cat-naps? Yes No

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

4. Have you ever been less than honest on your income tax return? Yes No

5. Do you have or use a PDA (Personal Digital Assistant)? Yes No

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

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

8. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

9. Do you get a flu shot every winter? Yes No

10. Have you ever purchased or sold anything on eBay? Yes No

11. Do you think you are intelligent? Yes No

12. Do you ever download music from the Internet? Yes No

13. 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. - The onion is named after a Latin word meaning large pearl. - More children are allergic to cockroaches than cats - It takes 570 gallons of white paint to cover the outside of the White House.

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