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Survey about snails, take-out, multi-vitamin, gambling, nevada and physical activity.

Begin Survey

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

2. Do you enjoy gambling? Yes No

3. Do you take a daily multi-vitamin? Yes No

4. Do you enjoy Girl Scout cookies? Yes No

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

6. Do you know CPR? Yes No

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

8. Do you own a first aid kit? Yes No

9. Did you graduate from high school? Yes No

10. Do you have any phobias? Yes No

11. Do you have health insurance? Yes No

12. Do you listen to the radio in the car? Yes No

13. Do you watch the evening news? Yes No

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

15. Do you enjoy cat-naps? Yes No

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

17. Do you have any tattoos? Yes No

18. Do you enjoy hot bubble baths? Yes No

19. 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: - Theodore Roosevelt was blind in his left eye. - The average French citizen eats 500 snails per year. - Your heart rate can rise as much as 30% during a yawn. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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