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Survey about winter, college, cappuccino, coffee house, health and allergy.

Begin Survey

1. Do you enjoy independent films? Yes No

2. Can you drive a stick shift? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Do you get a flu shot every winter? Yes No

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

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

7. Do you have a DVD player? Yes No

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

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

10. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

11. Do you have a savings account? Yes No

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

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

14. Have you ever had a professional massage? Yes No

15. Do you enjoy spicy foods? Yes No

16. Do you have any food allergies? Yes No

17. 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: - Betsy Ross was born with a fully formed set of teeth. - The onion is named after a Latin word meaning large pearl. - The storage capacity of human brain exceeds 4 terrabytes. - In Washington D.C., no building may be built taller than the Washington Monument.

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