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Survey about medications, water, console, playstation 2, englands stonehenge and knee caps.

Begin Survey

1. Do you get between 7 to 10 hours of sleep each night? Yes No

2. Will you order take-out or delivery food from a restaurant this week? Yes No

3. Do you ever dye your hair? Yes No

4. Will you see a play this month? Yes No

5. Do you work outside of the home? Yes No

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

7. Do you belong to any professional organizations? Yes No

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

9. Do you have a checking account? Yes No

10. Do you wear sunscreen every day? Yes No

11. Have you ever eaten rattlesnake meat? Yes No

12. Do you enjoy classical music? Yes No

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

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

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

16. Will you visit a therapist or psychiatrist this week? Yes No

17. Do you wear glasses/contacts? Yes No

18. 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - The average American drinks 25 gallons of milk per year. - Babies are born without knee caps. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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