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Survey about sneeze, sports, hardware, hands, dvds and newspapers.

Begin Survey

1. Do you know your cholesterol level? Yes No

2. Do you play any musical instruments? Yes No

3. Will you visit a beauty salon this week? Yes No

4. Do you own your home? Yes No

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

6. Will you rent a DVD or video this weekend? Yes No

7. Do you subscribe to your local newspaper? Yes No

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

9. Do you watch the evening news? Yes No

10. Do you follow a vegetarian diet? Yes No

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

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

13. Would you consider yourself an avid sports fan? Yes No

14. Are you currently attending college or taking adult enrichment classes? Yes No

15. Do you splash in mud puddles? Yes No

16. Do you wear sandals/flip-flops in the summer? Yes No

17. Do you have a VCR? Yes No

18. Will you consume any alcoholic beverages this weekend? Yes No

19. Are you left-handed? Yes No

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

21. 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. - Avocados have more protein than any other fruit. - A sneeze travels at 100 miles per hour. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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