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Survey about romance, cholesterol, low-carb diet, swimming pools, coffee and brain.

Begin Survey

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

2. Have you ever placed a personals ad? Yes No

3. Do you use chewing tobacco? Yes No

4. Did you drink coffee this morning? Yes No

5. Do you have a swimming pool? Yes No

6. Do you wear sunscreen every day? Yes No

7. Do you enjoy ethnic foods? Yes No

8. Will you go to a bar or night club this week? Yes No

9. Do you know your cholesterol level? Yes No

10. Are you a registered voter? Yes No

11. Do you follow a low-carb diet? Yes No

12. Do you drink diet soda? Yes No

13. Are you a veteran? Yes No

14. Do you shower at least once daily? Yes No

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

16. Do you enjoy reading non-fiction books for pleasure? 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: - Leonardo da Vinci was dyslexic. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - The human brain stops growing at the age of 18. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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