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Survey about medications, holidays, cholesterol, creamer, morning and names.

Begin Survey

1. Do you brush your teeth each morning? Yes No

2. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

3. Do you have cable or satellite television? Yes No

4. Do you own your home? Yes No

5. Do you own a dictionary and/or thesaurus? Yes No

6. Will you buy a lottery ticket this week? Yes No

7. Will you visit a casino this week? Yes No

8. Have you ever participated in a focus group? Yes No

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

10. Do you plan on taking a trip by airplane this week? Yes No

11. Do you sleep with a pillow at night? Yes No

12. Do you know your cholesterol level? Yes No

13. Do you have health insurance? Yes No

14. Do you own a first aid kit? Yes No

15. 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: - Barbie's full name is Barbara Millicent Roberts. - Non-dairy creamer is flammable. - Your thumb is the same length as your nose. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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