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Survey about bubble baths, doctors, morning, allergy, mittens and coffee.

Begin Survey

1. Do you enjoy spicy foods? Yes No

2. Do you use mouthwash? Yes No

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

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

5. Do you work outside of the home? Yes No

6. Did you drink coffee this morning? Yes No

7. Do you wear mittens? Yes No

8. Do you own a motorcycle? Yes No

9. Do you believe in Santa Claus? Yes No

10. Have you ever taken dance lessons? Yes No

11. Have you ever pilfered office supplies from work? Yes No

12. Do you enjoy gambling? Yes No

13. Do you enjoy hot bubble baths? Yes No

14. Do you contribute money to any charitable organizations? Yes No

15. Will you visit a doctor this week? Yes No

16. Do you have any food allergies? 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: - Leonardo da Vinci invented scissors. - The average American eats approximately 60 hot dogs per year. - The average American consumes 9 pounds of food additives every year. - The Step Pyramid is the first known monumental structure made of stone anywhere in the world. The Step Pyramid Complex of Djoser was built during the Third Dynasty (2800 B.C.) in Saqqara, Egypt.

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