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Survey about health insurance, mountain climbing, cologne, library of congress, beauty salons and employees.

Begin Survey

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

2. Have you ever been arrested? Yes No

3. Have you ever been rock or mountain climbing? Yes No

4. Do you wear cologne or perfume every day? Yes No

5. Do you watch Saturday morning cartoons? Yes No

6. Do you take a bagged lunch to work every day? Yes No

7. Do you have any piercings? Yes No

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

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

10. Are you a registered voter? Yes No

11. Do you have a land-line phone in your home? Yes No

12. Do you enjoy reality television? Yes No

13. Should government employees be randomly tested for illicit drug use? Yes No

14. Do you have a savings account? Yes No

15. Do you take a daily multi-vitamin? Yes No

16. Will you visit a beauty salon this week? Yes No

17. Do you have health insurance? Yes No

18. Do you have or use an MP3 player? Yes No

19. 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: - Deborah Winger did the voice of E.T. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Your thumb is the same length as your nose. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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