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Survey about health, sandwiches, roller coasters, employment, radio and cpr.

Begin Survey

1. Would you consider yourself to be in good overall health? Yes No

2. Are you satisfied in your current employment? Yes No

3. Do you listen to the radio in the car? Yes No

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

5. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

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

7. Do you enjoy ethnic foods? Yes No

8. Do you have road rage? Yes No

9. Do you use chewing tobacco? Yes No

10. Do you drink diet soda? Yes No

11. Do you play any organized team sports? Yes No

12. Do you plan on performing any community service this week? Yes No

13. Do you enjoy roller coasters? Yes No

14. Do you think you are physically attractive? Yes No

15. Do you have an annual check-up or exam with your family doctor? Yes No

16. Do you know CPR? Yes No

17. 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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