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Survey about winter, fruit, blueberries, office supplies, carrots and cpr.

Begin Survey

1. Do you have a VCR? Yes No

2. Will you consume any alcoholic beverages this weekend? Yes No

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

4. Will you go see a new-release movie at a theater this week? Yes No

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

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

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

8. Will you use a coupon for any of your purchases this week? Yes No

9. Do you wear mittens? Yes No

10. Do enjoy reading or writing poetry? Yes No

11. Do you know CPR? Yes No

12. Do you own your home? Yes No

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

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

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

16. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - Blueberries have more antioxidants than any other fruit or vegetables. - Both carrots and ketchup were once considered to have medicinal value. - There are 10 towns/cities named Hollywood in the United States.

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