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Survey about human brain, checking account, morning, income tax, golden gate bridge and therapists.

Begin Survey

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

2. Have you ever been less than honest on your income tax return? Yes No

3. Have you ever spent a day at a spa? Yes No

4. Have you made your will? Yes No

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

6. Are you married? Yes No

7. Will you rent a DVD or video this weekend? Yes No

8. Do you enjoy gambling? Yes No

9. Have you ever taken dance lessons? Yes No

10. Do you use charge cards? Yes No

11. Will you attend religious services this week? Yes No

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

13. Did you drink coffee this morning? Yes No

14. Have you ever broken any bones? Yes No

15. Do you feel Americans file too many frivolous lawsuits? Yes No

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

17. Do you have a checking account? Yes No

18. Are you involved in volunteerism? Yes No

19. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

20. Will you visit a therapist or psychiatrist this week? 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: - Ralph Lauren's original name is Ralph Lifshitz. - The average American drinks 25 gallons of milk per year. - One quarter of the human brain is used to control the eyes. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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