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Survey about busses, mouthwash, cleaning, 1967, work and musical instruments.

Begin Survey

1. Do you run the vacuum (or sweep) your floors every day? Yes No

2. Do you play any musical instruments? Yes No

3. Will you go to the grocery store this week? Yes No

4. Will you ride on a bus this week? Yes No

5. Have you ever been the target of identity theft? Yes No

6. Do you use mouthwash? Yes No

7. Do you have a DVD player? Yes No

8. Have you ever been arrested? Yes No

9. Did you drink coffee this morning? Yes No

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

11. Do you have any camping trips planned for this summer? Yes No

12. Do you have any pets? Yes No

13. Do you believe in love at first sight? Yes No

14. Are you satisfied in your current employment? Yes No

15. Will you be taking any road trips this week (over 50 miles)? Yes No

16. Do you enjoy gambling? 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Almonds are a member of the peach family. - Every year about 98% of atoms in the human body are replaced. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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