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Survey about television, grocery stores, perfume, jail, sleep and music.

Begin Survey

1. Do you get between 7 to 10 hours of sleep each night? Yes No

2. Do you wear cologne or perfume every day? Yes No

3. Can you whistle? Yes No

4. Do you drink diet soda? Yes No

5. Would you consider yourself to be in good overall health? Yes No

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

7. Will you go to the grocery store this week? Yes No

8. Do you believe in miracles? Yes No

9. Do you have or use a cellular phone? Yes No

10. Have you ever been arrested? Yes No

11. Have you ever been in a car accident? Yes No

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

13. Do you ever download music from the Internet? Yes No

14. Do you have a DVD player? Yes No

15. Do you always wear your safety belt when in a car? Yes No

16. Do you have cable or satellite television? Yes No

17. Will you visit a doctor this week? Yes No

18. 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: - Albert Einstein never wore any socks. - Lima beans contain cyanide. - Only 25% of Americans eat three meals a day. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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