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Survey about roller-skating, take-out, lyndon b johnson, tablets, psychiatrists and tart cherries.

Begin Survey

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

2. Will you visit a casino this week? Yes No

3. Do you believe in miracles? Yes No

4. Do you always drive within the posted speed limit? Yes No

5. Do you belong to any professional organizations? Yes No

6. Are any of your grandparents still alive? Yes No

7. Will you order take-out or delivery food from a restaurant this week? Yes No

8. Do you listen to talk radio? Yes No

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

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

11. Will you use a coupon for any of your purchases this week? Yes No

12. Do you have a DVD player? Yes No

13. Will you attend a college sporting event this month? Yes No

14. Do you use mouthwash? Yes No

15. Do you ever use a tanning bed? 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - Headache pain can be reduced by eating 20 tart cherries. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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