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Survey about medications, classical music, mouthwash, work, cappuccino and roller-skating.

Begin Survey

1. Do you have any camping trips planned for this summer? Yes No

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

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

4. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

5. Do you like chocolate? Yes No

6. Do you own a motorcycle? Yes No

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

8. Do you enjoy classical music? Yes No

9. Do you give your children a daily multi-vitamin? Yes No

10. Do you own your own business or work for yourself? Yes No

11. Have you ever eaten fried green tomatoes? Yes No

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

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

14. Did you vote in the last Presidential election? Yes No

15. Do you use mouthwash? Yes No

16. Do you read your horoscope every day? Yes No

17. Will you take any train or subway rides this week? Yes No

18. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

19. Should the ban on new lines of stem cells for research in the U.S. be lifted? 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: - Michael Jordan was cut from his high school basketball team his sophomore year. - Ears of corn always have an even number of rows of kernels. - The human brain stops growing at the age of 18. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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