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Survey about acne, winter, children, australia, schools and take-out.

Begin Survey

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

2. Do you drink diet soda? Yes No

3. Do you enjoy independent films? Yes No

4. Do you have any pets? Yes No

5. Do your children attend public schools? Yes No

6. Have you ever placed a personals ad? Yes No

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

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

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

10. Do you shower at least once daily? Yes No

11. Have you ever broken any bones? Yes No

12. Do you enjoy hot bubble baths? Yes No

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

14. Do you wear sunscreen every day? Yes No

15. Will you plant a vegetable and/or flower garden this year? 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: - Houdini was the first man to fly a plane solo in Australia. - Chocolate does not cause acne. - 15% of Americans secretly bite their toes. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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