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Survey about watches, bones, jelly, sleep, physical activity and hospital.

Begin Survey

1. Do you have any tattoos? Yes No

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

3. Will you ride on a bus this week? Yes No

4. Will you travel outside of the U.S. this year? Yes No

5. Do you like peanut butter and jelly sandwiches? Yes No

6. Do you like chocolate? Yes No

7. Do you sleep with a pillow at night? Yes No

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

9. Do you listen to talk radio? Yes No

10. Are you involved in volunteerism? Yes No

11. Do you take a bagged lunch to work every day? Yes No

12. Do you have children? Yes No

13. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

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

15. Have you ever been less than honest on your resume? Yes No

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

17. Will you be taking any road trips this week (over 50 miles)? Yes No

18. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

19. Have you ever traced your family tree? Yes No

20. Should government employees be randomly tested for illicit drug use? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - Almonds are a member of the peach family. - 25% of your bones are located in your feet. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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