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Survey about birth, dvd players, malls, coca-cola, hair and evening news.

Begin Survey

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

2. Do you have road rage? Yes No

3. Do you watch the evening news? Yes No

4. Do you like chocolate? Yes No

5. Do you own a first aid kit? Yes No

6. Do you listen to the radio in the car? Yes No

7. Do you have a DVD player? Yes No

8. Are you involved in volunteerism? Yes No

9. Will you be visiting any theme parks this year? Yes No

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

11. Do you ever dye your hair? Yes No

12. Have you ever eaten fried green tomatoes? Yes No

13. Have you eaten fast food this week? Yes No

14. Do you have an annual check-up or exam with your family doctor? Yes No

15. Do you give your children a daily multi-vitamin? Yes No

16. Are you left-handed? Yes No

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

18. 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: - Barbie's full name is Barbara Millicent Roberts. - Coca-Cola was the first soft drink to be consumed in outer space. - After the age of 35, about 1 in 27 women will give birth to twins. After 50, the chances of having twins is 1 in 9. - Central Park (in New York City) has 125 drinking fountains.

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