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Survey about health insurance, sunscreen, white house, smiles, blueberry jelly and drug use.

Begin Survey

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

2. Do you enjoy reality television? Yes No

3. Do you have health insurance? Yes No

4. Will you take any train or subway rides this week? Yes No

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

6. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

7. Would you consider yourself an avid sports fan? Yes No

8. Will you ride on a bus this week? Yes No

9. Have you ever responded to a personals ad? Yes No

10. Do you wear sandals/flip-flops in the summer? Yes No

11. Do you wear sunscreen every day? Yes No

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

13. Do you use chewing tobacco? Yes No

14. Do you enjoy cooking or baking? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Onions have no flavor, only a smell. - It takes 17 muscles to smile, 43 to frown. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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