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Survey about breakfast, soft drinks, coca-cola, shower, independent films and night.

Begin Survey

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

2. Have you ever been in a car accident? Yes No

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

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

5. Do you brush your teeth each morning? Yes No

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

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

8. Do you have a savings account? Yes No

9. Will you travel outside of the U.S. this year? Yes No

10. Do you enjoy independent films? Yes No

11. Are you involved in volunteerism? Yes No

12. Do you smoke cigarettes? Yes No

13. Do you eat breakfast every morning? Yes No

14. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

15. Will you visit a beauty salon this week? Yes No

16. Did you drink coffee this morning? Yes No

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

18. Have you ever been rock or mountain climbing? Yes No

19. Do you brush your teeth before bed each night? Yes No

20. Do you own a motorcycle? Yes No

21. 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - Coca-Cola was the first soft drink to be consumed in outer space. - A blink lasts approximately 0.3 seconds. - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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