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Survey about health, noodlemakers, smoking, democracy, ketchup and lunch.

Begin Survey

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

2. Do you smoke cigarettes? Yes No

3. Will you visit a doctor this week? Yes No

4. Do you take any prescribed daily medications? Yes No

5. Have you ever traced your family tree? Yes No

6. Do you drink enough water (6 8-ounce glasses) every day? Yes No

7. Do you enjoy cat-naps? Yes No

8. Are you a registered voter? Yes No

9. Have you ever won the lottery? Yes No

10. Do you drink milk? Yes No

11. Do you enjoy roller coasters? Yes No

12. Will you attend a professional sporting event this month? 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Both carrots and ketchup were once considered to have medicinal value. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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