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Survey about new mexico, jackie kennedy, spa, drugs, artery and theater.

Begin Survey

1. Have you ever spent a day at a spa? Yes No

2. Do you smoke cigarettes? Yes No

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

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

5. Have you ever been in a car accident? Yes No

6. Do you use chewing tobacco? Yes No

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

8. Should government employees be randomly tested for illicit drug use? Yes No

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

10. Do you have any piercings? Yes No

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

12. Will you visit a hardware or home improvement store this week? Yes No

13. Do you have any pets? Yes No

14. Will you attend religious services this week? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Almonds are a member of the peach family. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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