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Survey about luck, overall health, religion, malls, lotteries and diet soda.

Begin Survey

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

2. Will you visit a hardware or home improvement store this week? Yes No

3. Do you think you are intelligent? Yes No

4. Would you consider yourself to be in good overall health? Yes No

5. Have you ever placed a personals ad? Yes No

6. Do you enjoy board games? Yes No

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

8. Are you a veteran? Yes No

9. Have you ever won the lottery? Yes No

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

11. Do you drink diet soda? Yes No

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

13. Have you made your will? Yes No

14. Do you have a savings account? Yes No

15. Do you use mouthwash? Yes No

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

17. Do you plan on visiting a mall this week? Yes No

18. Do you have a sit-down family dinner every night? 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: - James Garfield was the first U.S. president to use a telephone. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - In the average lifetime a person will breathe in about 44 pounds of dust. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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