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Survey about income tax, physical activity, white house, contact lenses, human brain and grandparents.

Begin Survey

1. Do you brush your teeth before bed each night? Yes No

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

3. Are any of your grandparents still alive? Yes No

4. Will you plant a vegetable and/or flower garden this year? Yes No

5. Do you get between 7 to 10 hours of sleep each night? Yes No

6. Do you smoke cigarettes? Yes No

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

8. Are you currently attending college or taking adult enrichment classes? Yes No

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

10. Do you wear glasses/contacts? Yes No

11. Are you a registered voter? Yes No

12. Do you enjoy playing video games? Yes No

13. Have you ever cut your own hair? Yes No

14. Do you own a matching set of luggage? Yes No

15. Do you enjoy hot bubble baths? Yes No

16. Do you know your cholesterol level? Yes No

17. Have you ever had a professional massage? Yes No

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

19. 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - The storage capacity of human brain exceeds 4 terrabytes. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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