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Survey about woman, diet soda, ethnic foods, drama, miracles and cranberry.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Do you ever use a tanning bed? Yes No

3. Do you enjoy hunting or fishing? Yes No

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

5. Do you know your cholesterol level? Yes No

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

7. Do you believe in miracles? Yes No

8. Do you drink diet soda? Yes No

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

10. Do you enjoy ethnic foods? Yes No

11. Do you enjoy television police/crime dramas? Yes No

12. Do you have or use an MP3 player? Yes No

13. Do you plan on visiting the public library this week? Yes No

14. Do you have any piercings? Yes No

15. Have you graduated from (or finished) college? Yes No

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

17. Do you have any tattoos? Yes No

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

19. 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. - A ripe cranberry will bounce. - 80% of people over 100 years old are women. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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