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Survey about therapists, xbox, fantasy, take-out, vegetables and antioxidants.

Begin Survey

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

2. Do you use online banking? Yes No

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

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

5. Will you visit a therapist or psychiatrist this week? Yes No

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

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

8. Have you ever been less than honest on your income tax return? Yes No

9. Do you know your cholesterol level? Yes No

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

11. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

12. Do you enjoy playing video games? 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: - Theodore Roosevelt was blind in his left eye. - Blueberries have more antioxidants than any other fruit or vegetables. - Women blink nearly twice as much as men. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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