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Survey about physical activity, guns, chain smoker, vegetables, rats and tattoos.

Begin Survey

1. Do you drink milk? Yes No

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

3. Do you ever use a tanning bed? Yes No

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

5. Do you enjoy television police/crime dramas? Yes No

6. Do you have any tattoos? Yes No

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

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

9. Do you have a swimming pool? Yes No

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

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

12. Will you buy plants or flowers from a florist this week? Yes No

13. Do you drink diet soda? Yes No

14. Do you own a gun? Yes No

15. Will you plant a vegetable and/or flower garden this year? Yes No

16. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Tomatoes were thought to be poisonous at one time. - More children are allergic to cockroaches than cats - The Great Wall stretches for about 4,500 miles across North China.

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