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Survey about sky-diving, james garfield, physical activity, musical instruments, pets and sandwiches.

Begin Survey

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

2. Do you have an annual check-up or exam with your family doctor? Yes No

3. Do you know CPR? Yes No

4. Would you consider yourself to be in good overall health? Yes No

5. Are you satisfied in your current employment? Yes No

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

7. Do you play any musical instruments? Yes No

8. Have you ever gone sky-diving or bungee-jumping? Yes No

9. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

10. Will you go to a concert this week? Yes No

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

12. Do you enjoy board games? Yes No

13. Have you ever won the lottery? Yes No

14. Have you ever been less than honest on your income tax return? Yes No

15. Do you have any pets? Yes No

16. Do you enjoy Girl Scout cookies? Yes No

17. Will you see a play this month? Yes No

18. Will you engage in rigorous physical activity at least three times this week? Yes No

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

20. 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: - James Garfield was the first U.S. president to use a telephone. - Apples are a member of the rose family. - A yawn usually lasts for approximately six seconds. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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