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Survey about health insurance, focus groups, lunch, ethnic foods, jim morrisson and muscles.

Begin Survey

1. Are you a registered voter? Yes No

2. Do you run the vacuum (or sweep) your floors every day? Yes No

3. Do you suffer from seasonal allergies? Yes No

4. Will you consume any alcoholic beverages this weekend? Yes No

5. Have you ever gotten a traffic ticket? Yes No

6. Do you enjoy ethnic foods? Yes No

7. Do you enjoy watching cooking shows? Yes No

8. Do you give your children a daily multi-vitamin? Yes No

9. Do you eat lunch every day? Yes No

10. Have you ever participated in a focus group? Yes No

11. Do you brush your teeth each morning? Yes No

12. Do you have health insurance? Yes No

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

14. Do you speak any foreign languages? Yes No

15. 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Nutmeg is extremely poisonous if injected intravenously. - It takes 17 muscles to smile, 43 to frown. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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