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Survey about antioxidants, movies, travel, modern man, malls and children.

Begin Survey

1. Do you use mouthwash? Yes No

2. Do you have children? Yes No

3. Will you see a play this month? Yes No

4. Do you use chewing tobacco? Yes No

5. Have you ever been less than honest on your resume? Yes No

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

7. Do you plan on taking a trip by airplane this week? Yes No

8. Do you enjoy classical music? Yes No

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

10. Do you enjoy science fiction/fantasy movies? Yes No

11. Do your children attend public schools? Yes No

12. Do you own at least one pair of blue jeans? Yes No

13. Do you own a matching set of luggage? Yes No

14. Do you plan on visiting a mall this week? Yes No

15. Do you have Internet access at home? Yes No

16. Do you believe in miracles? 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - Blueberries have more antioxidants than any other fruit or vegetables. - Neanderthal man had a brain capacity 100cc larger than modern man. - The Sears Tower in Chicago has its own zip code.

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