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Survey about mp3 players, coffee, cholesterol, garden, vegetables and 100 years.

Begin Survey

1. Do you know your cholesterol level? Yes No

2. Do you plan on visiting the public library this week? Yes No

3. Will you be visiting any theme parks this year? Yes No

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

5. Do you have any siblings? Yes No

6. Will you travel outside of the U.S. this year? Yes No

7. Do your children attend public schools? Yes No

8. Do you wear mittens? Yes No

9. Do you plan to visit the zoo this year? Yes No

10. Did you drink coffee this morning? Yes No

11. Will you plant a vegetable and/or flower garden this year? Yes No

12. Do you have or use an MP3 player? Yes No

13. Do you drink diet soda? Yes No

14. Have you graduated from (or finished) college? Yes No

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

16. Do you enjoy hot bubble baths? Yes No

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

18. Have you ever broken any bones? Yes No

19. Have you ever eaten rattlesnake meat? 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Gatorade was named for the University of Florida (Gators where it was first developed. - 80% of people over 100 years old are women. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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