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Survey about health, office supplies, lunch, religion, leonardo da vinci and meditation.

Begin Survey

1. Do you practice yoga? Yes No

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

3. Do you eat lunch every day? Yes No

4. Do you own a first aid kit? Yes No

5. Do you wear sunscreen every day? Yes No

6. Do you own a Bible, Koran, or other religious book? Yes No

7. Do you plan on taking a trip by airplane this week? Yes No

8. Have you ever been in a car accident? Yes No

9. Have you ever pilfered office supplies from work? Yes No

10. Do you own a pair of fuzzy bunny slippers? Yes No

11. Are your immunizations up-to-date? Yes No

12. Do you have or use a PDA (Personal Digital Assistant)? Yes No

13. Are you left-handed? Yes No

14. Do you own your home? Yes No

15. Do you enjoy ethnic foods? Yes No

16. Do you get a flu shot every winter? Yes No

17. Do you brush your teeth after lunch? Yes No

18. Do you have a valid passport? Yes No

19. Do you have children? Yes No

20. Do you have a savings account? Yes No

21. 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - Lemons contain more sugar than strawberries. - Most dreams last only 5 to 20 minutes. - Hawaii has the only royal palace in the United States – Iolani.

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