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Survey about vegetables, heart rate, beauty salons, hands, sky-diving and xbox.

Begin Survey

1. Do you fly an American flag at home? Yes No

2. Do you use mouthwash? Yes No

3. Have you ever gone sky-diving or bungee-jumping? Yes No

4. Do you enjoy cat-naps? Yes No

5. Will you visit a beauty salon this week? Yes No

6. Have you ever cut your own hair? Yes No

7. Do you take a daily multi-vitamin? Yes No

8. Do you know CPR? Yes No

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

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

11. Will you take any train or subway rides this week? Yes No

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

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

14. Are you left-handed? Yes No

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

16. Do you feel Americans file too many frivolous lawsuits? Yes No

17. Do you enjoy classical music? Yes No

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

19. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Blueberries have more antioxidants than any other fruit or vegetables. - Your heart rate can rise as much as 30% during a yawn. - It takes 570 gallons of white paint to cover the outside of the White House.

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