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Survey about vegetarian diet, broken bones, lemons, health, trips and food.

Begin Survey

1. Will you attend religious services this week? Yes No

2. Are you satisfied in your current employment? Yes No

3. Have you ever broken any bones? Yes No

4. Do you use charge cards? Yes No

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

6. Do you plan on taking a trip by airplane this week? Yes No

7. Will you be staying at a hotel this week? Yes No

8. Do you enjoy card games? Yes No

9. Do you plan to visit the zoo this year? Yes No

10. Have you ever eaten fried green tomatoes? Yes No

11. Do you follow a vegetarian diet? Yes No

12. Did you graduate from high school? Yes No

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

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

15. Do you smoke cigarettes? Yes No

16. Do you enjoy Girl Scout cookies? Yes No

17. Do you wear mittens? 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: - 20252 is Smokey the Bear's own zip code. - Lemons contain more sugar than strawberries. - 15% of Americans secretly bite their toes. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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