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Survey about winter, flu, casinos, health, drug use and water.

Begin Survey

1. Have you ever won the lottery? Yes No

2. Have you ever borrowed money from a relative? Yes No

3. Do you use chewing tobacco? Yes No

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

5. Do you have a valid passport? Yes No

6. Will you visit a doctor this week? Yes No

7. Will you visit a hardware or home improvement store this week? Yes No

8. Will you attend a professional sporting event this month? Yes No

9. Will you attend a college sporting event this month? Yes No

10. Will you visit a casino this week? Yes No

11. Do you drink enough water (6 8-ounce glasses) every day? Yes No

12. Did you vote in the last Presidential election? Yes No

13. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

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

15. Do you have health insurance? Yes No

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

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

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

19. Do you contribute money to any charitable organizations? Yes No

20. 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: - Al Capone's business card said he was a used furniture dealer. - At one time, pumpkins were recommended for removing freckles. - A yawn usually lasts for approximately six seconds. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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