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Survey about physical activity, motorcycles, tablets, multi-vitamin, malls and luck.

Begin Survey

1. Do you enjoy watching cooking shows? Yes No

2. Do you enjoy roller coasters? Yes No

3. Do you listen to talk radio? Yes No

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

5. Do you enjoy reality television? Yes No

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

7. Have you ever won the lottery? Yes No

8. Do you own a motorcycle? Yes No

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

10. Do you follow a vegetarian diet? Yes No

11. Do you get a flu shot every winter? Yes No

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

13. Do you know your cholesterol level? Yes No

14. Do you belong to a labor union? Yes No

15. Are your parents still married? Yes No

16. Do you eat breakfast every morning? Yes No

17. Do you own a gun? Yes No

18. Do you splash in mud puddles? Yes No

19. Have you ever been in a car accident? 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - The U.S. Government spent $277,000 on pickle research in 1993. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The Sears Tower in Chicago has its own zip code.

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