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Survey about teeth, cooking, reading, intelligent, restaurants and volunteers.

Begin Survey

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

2. Do you shower at least once daily? Yes No

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

4. Are you involved in volunteerism? Yes No

5. Do you wear a watch every day? Yes No

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

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

8. Are your immunizations up-to-date? Yes No

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

10. Do you enjoy watching cooking shows? Yes No

11. Have you ever responded to a personals ad? Yes No

12. Are you a veteran? Yes No

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

14. Do you believe in miracles? Yes No

15. Do you attend regular religious services? Yes No

16. Will you use a coupon for any of your purchases this week? Yes No

17. Do you suffer from seasonal allergies? Yes No

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

19. Do you think you are intelligent? Yes No

20. Have you ever cut your own hair? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - The '57' on the bottle of Heinz ketchup stands for the number of pickle varieties they once offered. - Identical twins do not have identical fingerprints. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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