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Survey about night, health, medications, coupons, cars and tongue.

Begin Survey

1. Did you graduate from high school? Yes No

2. Do you keep an umbrella in your car? Yes No

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

4. Do you always drive within the posted speed limit? Yes No

5. Do you own your home? Yes No

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

7. Do you get between 7 to 10 hours of sleep each night? Yes No

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

9. Do you listen to the radio in the car? Yes No

10. Would you consider yourself to be in good overall health? Yes No

11. Will you be staying at a hotel this week? Yes No

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

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

14. Do you have health insurance? Yes No

15. Do you ever dye your hair? Yes No

16. Are you involved in volunteerism? Yes No

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

18. Do you enjoy Girl Scout cookies? Yes No

19. Have you ever eaten rattlesnake meat? Yes No

20. 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - At one time, pumpkins were recommended for removing freckles. - The tongue is the strongest muscle in the human body. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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