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Survey about independent films, volunteers, checkbooks, children, jackie kennedy and happy meals.

Begin Survey

1. Will you buy plants or flowers from a florist this week? Yes No

2. Will you use a coupon for any of your purchases this week? Yes No

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

4. Do you smoke cigarettes? Yes No

5. Are you involved in volunteerism? Yes No

6. Do you ever use a tanning bed? Yes No

7. Do you enjoy independent films? Yes No

8. Do you read the comics? Yes No

9. Do you follow a vegetarian diet? Yes No

10. Did you drink coffee this morning? Yes No

11. Do you like chocolate? Yes No

12. Do you take any prescribed daily medications? Yes No

13. Do your children attend public schools? Yes No

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

15. Will you ride on a bus this week? Yes No

16. Will you balance your checkbook this week? Yes No

17. Do you enjoy Girl Scout cookies? Yes No

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

19. Do you enjoy documentary films? Yes No

20. Have you ever been tested for HIV? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - 40% of McDonald's profits come from the sale of Happy Meals - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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