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Survey about team sports, health, phobias, card games, tobacco and snails.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Have you ever pilfered office supplies from work? Yes No

3. Do you play any organized team sports? Yes No

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

5. Do you enjoy science fiction/fantasy movies? Yes No

6. Have you ever broken any bones? Yes No

7. Do you brush your teeth after lunch? Yes No

8. Do you ever use a tanning bed? Yes No

9. Do you enjoy card games? Yes No

10. Have you ever participated in a focus group? Yes No

11. Will you buy plants or flowers from a florist this week? Yes No

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

13. Do you have any phobias? Yes No

14. Do you have or use a PDA (Personal Digital Assistant)? Yes No

15. Do you have any houseplants? Yes No

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

17. 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: - Napoleon constructed his battle plans in a sandbox. - The average French citizen eats 500 snails per year. - The United States produces more tobacco than it does wheat. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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