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Survey about night, gambling, library of congress, janis joplin, trains and women.

Begin Survey

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

2. Do you follow a vegetarian diet? Yes No

3. Do you have any siblings? Yes No

4. Do you know your cholesterol level? Yes No

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

6. Do you brush your teeth before bed each night? Yes No

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

8. Have you ever borrowed money from a relative? Yes No

9. Do you take a daily multi-vitamin? Yes No

10. Do you have road rage? Yes No

11. Have you ever responded to a personals ad? Yes No

12. Do you listen to talk radio? Yes No

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

14. Do your children attend public schools? Yes No

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

16. Do you own your home? Yes No

17. Do you use a dishwasher to do your dishes? Yes No

18. Do you enjoy gambling? Yes No

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

20. Do you know CPR? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - The Massachusetts state beverage is Cranberry Juice. - Men are 6 times more likely to be struck by lightning than women. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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