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Survey about public library, flu, coffee, siblings, utah and tobacco.

Begin Survey

1. Do you plan on performing any community service this week? Yes No

2. Do you have a VCR? Yes No

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

4. Do you work outside of the home? Yes No

5. Do you wear glasses/contacts? Yes No

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

7. Do you have a swimming pool? Yes No

8. Do you plan on visiting the public library this week? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you enjoy Girl Scout cookies? Yes No

11. Do you have any siblings? Yes No

12. Did you drink coffee this morning? Yes No

13. 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: - Mr. Rogers was an ordained minister. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - The United States produces more tobacco than it does wheat. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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