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Survey about health insurance, michael jordan, teeth, driving, night and dictionary.

Begin Survey

1. Do you have a DVD player? Yes No

2. Do you brush your teeth before bed each night? Yes No

3. Do you read the comics? Yes No

4. Do you have health insurance? Yes No

5. Have you ever cut your own hair? Yes No

6. Can you drive a stick shift? Yes No

7. Do you own a dictionary and/or thesaurus? Yes No

8. Do you know your cholesterol level? Yes No

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

10. Will you balance your checkbook this week? Yes No

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

12. Do you have any camping trips planned for this summer? Yes No

13. Do you like peanut butter and jelly sandwiches? Yes No

14. 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: - Michael Jordan was cut from his high school basketball team his sophomore year. - The Massachusetts state beverage is Cranberry Juice. - During their lifetime, the average human will grow 590 miles of hair. - The Sears Tower in Chicago has its own zip code.

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