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Survey about russia, reading, janis joplin, teeth, meditation and 27.

Begin Survey

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

2. Do you drink enough water (6 8-ounce glasses) every day? Yes No

3. Did you vote in the last Presidential election? Yes No

4. Have you eaten fast food this week? Yes No

5. Do you plan to visit the zoo this year? Yes No

6. Do you brush your teeth before bed each night? Yes No

7. Do you like peanut butter and jelly sandwiches? Yes No

8. Do enjoy reading or writing poetry? Yes No

9. Will you go to the grocery store this week? Yes No

10. Do you enjoy reading non-fiction books for pleasure? Yes No

11. Do you practice yoga? Yes No

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

13. Do you own a gun? Yes No

14. Do you give your children a daily multi-vitamin? Yes No

15. Have you ever taken dance lessons? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Approximately 3 billion pizzas are sold in the U.S. each year. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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