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Survey about mountain climbing, blueberries, fishing, coffee, smoking and teeth.

Begin Survey

1. Do you know CPR? Yes No

2. Do you enjoy hunting or fishing? Yes No

3. Do you have any pets? Yes No

4. Do you use charge cards? Yes No

5. Will you use a coupon for any of your purchases this week? Yes No

6. Have you ever been rock or mountain climbing? Yes No

7. Will you buy plants or flowers from a florist this week? Yes No

8. Do you own a boat, camper, or other recreational vehicle? Yes No

9. Do you smoke cigarettes? Yes No

10. Did you drink coffee this morning? Yes No

11. Have you ever won the lottery? Yes No

12. Do you have a checking account? Yes No

13. Will you go to the grocery store this week? Yes No

14. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Blueberries have more antioxidants than any other fruit or vegetables. - Half of all Americans over the age of 55 have no teeth. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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