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Survey about summer, vcr, insurance, chief crazy horse, grandparents and health.

Begin Survey

1. Are any of your grandparents still alive? Yes No

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

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

4. Do you enjoy hunting or fishing? Yes No

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

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

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

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

9. Do you have a VCR? Yes No

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

11. Do you have health insurance? Yes No

12. Do you take a bagged lunch to work every day? Yes No

13. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - At one time, pumpkins were recommended for removing freckles. - You are more likely to get attacked by a cow than a shark. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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