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Survey about pda, al capone, beans, music, cat-naps and 1937.

Begin Survey

1. Do you drink milk? Yes No

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

3. Will you visit a therapist or psychiatrist this week? Yes No

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

5. Do you enjoy cat-naps? Yes No

6. Do you always wear your safety belt when in a car? Yes No

7. Do you have health insurance? Yes No

8. Do you own at least one pair of blue jeans? Yes No

9. Do you practice yoga? Yes No

10. Can you whistle? Yes No

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

12. Will you be taking any road trips this week (over 50 miles)? Yes No

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

14. Are you involved in volunteerism? Yes No

15. Do you use charge cards? Yes No

16. Do you plan on taking a trip by airplane this week? Yes No

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

18. Do you have or use a PDA (Personal Digital Assistant)? Yes No

19. 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: - Al Capone's business card said he was a used furniture dealer. - Lima beans contain cyanide. - A blink lasts approximately 0.3 seconds. - The Golden Gate Bridge was first opened in 1937.

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