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Survey about night, drugs, fast food, blinks, roller-skating and cleaning.

Begin Survey

1. Do you eat breakfast every morning? Yes No

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

3. Do you believe in love at first sight? Yes No

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

5. Have you eaten fast food this week? Yes No

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

7. Do you sleep with a pillow at night? Yes No

8. Will you visit a doctor this week? Yes No

9. Do you ever download movies from the Internet? Yes No

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

11. Will you go see a new-release movie at a theater this week? Yes No

12. Do you run the vacuum (or sweep) your floors every day? Yes No

13. Do you plan on visiting a mall this week? Yes No

14. Will you consume any alcoholic beverages this weekend? Yes No

15. Have you ever traced your family tree? Yes No

16. Are you married? Yes No

17. Do you own a pair of fuzzy bunny slippers? Yes No

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

19. Do you own or use a digital camera? Yes No

20. Have you ever broken any bones? 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:

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Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Frank Sinatra never wore or owned a pair of blue jeans. - 40% of McDonald's profits come from the sale of Happy Meals - A blink lasts approximately 0.3 seconds. - Central Park (in New York City) has 125 drinking fountains.

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