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Survey about buying, traffic tickets, music, religion, download and mouthwash.

Begin Survey

1. Will you take any train or subway rides this week? Yes No

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

3. Do you use mouthwash? Yes No

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

5. Did you graduate from high school? Yes No

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

7. Do you own a Bible, Koran, or other religious book? Yes No

8. Do you believe in miracles? Yes No

9. Do you have health insurance? Yes No

10. Have you ever gotten a traffic ticket? Yes No

11. Do you subscribe to your local newspaper? Yes No

12. Will you be staying at a hotel this week? Yes No

13. Have you ever purchased or sold anything on eBay? Yes No

14. Do you ever download music from the Internet? Yes No

15. Will you engage in rigorous physical activity at least three times this week? Yes No

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

17. Will you be taking any road trips this week (over 50 miles)? 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - During their lifetime, the average human will grow 590 miles of hair. - Lake Michigan is the largest lake in the United States.

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