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Survey about rose family, lifshitz, restaurants, work, storage and stores.

Begin Survey

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

2. Do you drink milk? Yes No

3. Do you enjoy documentary films? Yes No

4. Will you visit a hardware or home improvement store this week? Yes No

5. Do you own a motorcycle? Yes No

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

7. Have you ever had a professional massage? Yes No

8. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

10. Do you own your own business or work for yourself? Yes No

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

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

13. Will you be visiting any theme parks this year? Yes No

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

15. Will you be taking any road trips this week (over 50 miles)? 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: - Ralph Lauren's original name is Ralph Lifshitz. - Strawberries are a member of the rose family. - The storage capacity of human brain exceeds 4 terrabytes. - It takes 570 gallons of white paint to cover the outside of the White House.

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