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Survey about multi-vitamin, glasses, children, foreigners, roller-skating and national parks.

Begin Survey

1. Do you think you are physically attractive? Yes No

2. Do you suffer from seasonal allergies? Yes No

3. Are you a veteran? Yes No

4. Do you wear glasses/contacts? Yes No

5. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

6. Have you ever been tested for HIV? Yes No

7. Have you ever had a professional massage? Yes No

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

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

10. Do you have any camping trips planned for this summer? Yes No

11. Do you plan on performing any community service this week? Yes No

12. Do you own a Bible, Koran, or other religious book? Yes No

13. Do you plan to visit any U.S. National Parks this year? Yes No

14. Do you speak any foreign languages? Yes No

15. Do you listen to talk radio? Yes No

16. Do you enjoy cat-naps? Yes No

17. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Americans spend more on fast food every year than they do on higher education, personal computers and software, or new cars. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - There are 10 towns/cities named Hollywood in the United States.

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