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Survey about physical activity, safety belt, personal ads, travel, graduation and camping.

Begin Survey

1. Did you graduate from high school? Yes No

2. Do enjoy reading or writing poetry? Yes No

3. Do you brush your teeth each morning? Yes No

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

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

6. Would you consider yourself an avid sports fan? Yes No

7. Are you involved in volunteerism? Yes No

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

9. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

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

12. Are your immunizations up-to-date? Yes No

13. Have you ever gone sky-diving or bungee-jumping? Yes No

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

15. Do you smoke cigarettes? Yes No

16. Are you a veteran? Yes No

17. 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: - Frank Sinatra never wore or owned a pair of blue jeans. - The onion is named after a Latin word meaning large pearl. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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