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Survey about milk, physical activity, glasses, flavor, perfume and contact lenses.

Begin Survey

1. Do you ever download movies from the Internet? Yes No

2. Do you wear mittens? Yes No

3. Do you take a bagged lunch to work every day? Yes No

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

5. Do you drink milk? Yes No

6. Do you subscribe to your local newspaper? Yes No

7. Will you balance your checkbook this week? Yes No

8. Do you have any houseplants? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you wear glasses/contacts? Yes No

11. Will you be taking any road trips this week (over 50 miles)? Yes No

12. Can you drive a stick shift? Yes No

13. Do you wear cologne or perfume every day? Yes No

14. Have you made your will? 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: - Houdini was the first man to fly a plane solo in Australia. - Onions have no flavor, only a smell. - More people have a phobia of frogs than rats. - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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