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Survey about heart rate, trips, community services, dishes, loans and canada.

Begin Survey

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

2. Have you ever borrowed money from a relative? Yes No

3. Do you contribute money to any charitable organizations? Yes No

4. Do you enjoy independent films? Yes No

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

6. Do you ever download movies from the Internet? Yes No

7. Have you ever traveled by airplane? Yes No

8. Do you have any camping trips planned for this summer? Yes No

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

10. Do you use mouthwash? Yes No

11. Do you wear glasses/contacts? Yes No

12. Do you fly an American flag at home? Yes No

13. Will you travel outside of the U.S. this year? Yes No

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

15. Do you drink diet soda? Yes No

16. Do you use a dishwasher to do your dishes? Yes No

17. Will you see a play this month? Yes No

18. Do you ever download music from the Internet? Yes No

19. Do you speak any foreign languages? Yes No

20. 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: - Al Capone's business card said he was a used furniture dealer. - Lima beans contain cyanide. - Your heart rate can rise as much as 30% during a yawn. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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