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Survey about night clubs, summer, breakfast, cities, cpr and health.

Begin Survey

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

2. Will you go to a bar or night club this week? Yes No

3. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

4. Do you know CPR? Yes No

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

6. Do you have health insurance? Yes No

7. Do you enjoy hunting or fishing? Yes No

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

9. Do you wear sandals/flip-flops in the summer? Yes No

10. Do you drink milk? Yes No

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

12. Do you drink enough water (6 8-ounce glasses) every day? Yes No

13. Do you ever download music from the Internet? Yes No

14. Do you enjoy gambling? Yes No

15. Do you wear glasses/contacts? Yes No

16. Do you follow a vegetarian diet? Yes No

17. Have you ever eaten rattlesnake meat? Yes No

18. Are any of your grandparents still alive? Yes No

19. Do you eat breakfast every morning? Yes No

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

21. 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: - Sonny and Cher originally called themselves Cleo and Caesar. - Almonds are a member of the peach family. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - There are 10 towns/cities named Hollywood in the United States.

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