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Survey about low-carb diet, stem cells, safety belt, xbox, research and water.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

2. Do you drink enough water (6 8-ounce glasses) every day? Yes No

3. Would you consider yourself an avid sports fan? Yes No

4. Have you ever won the lottery? Yes No

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

6. Have you ever been in love? Yes No

7. Do you always drive within the posted speed limit? Yes No

8. Do you always wear your safety belt when in a car? Yes No

9. Do you follow a low-carb diet? Yes No

10. Are you a registered voter? Yes No

11. Do you belong to a labor union? Yes No

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

13. Do you believe in love at first sight? Yes No

14. Do you enjoy classical music? Yes No

15. Do you smoke cigarettes? Yes No

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

17. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

18. Are you married? Yes No

19. Do you play any organized team sports? 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: - Mr. Rogers was an ordained minister. - Ears of corn always have an even number of rows of kernels. - You are more likely to get attacked by a cow than a shark. - Buckingham Palace has over six hundred rooms.

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