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Survey about car, wills, ketchup, children, radio and coca-cola.

Begin Survey

1. Will you visit a hardware or home improvement store this week? Yes No

2. Do you own your own business or work for yourself? Yes No

3. Do you belong to a labor union? Yes No

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

5. Do you own a pair of fuzzy bunny slippers? Yes No

6. Will you rent a DVD or video this weekend? Yes No

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

8. Do you ever download movies from the Internet? Yes No

9. Do you suffer from seasonal allergies? Yes No

10. Will you use a coupon for any of your purchases this week? Yes No

11. Have you made your will? Yes No

12. Do you use a dishwasher to do your dishes? Yes No

13. Will you buy a lottery ticket this week? Yes No

14. Have you ever been arrested? Yes No

15. Do you follow a low-carb diet? Yes No

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

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

18. Have you ever spent a day at a spa? Yes No

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

20. Do you follow a vegetarian diet? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Coca-Cola was the first soft drink to be consumed in outer space. - Both carrots and ketchup were once considered to have medicinal value. - Central Park (in New York City) has 125 drinking fountains.

Related Content: coca cola free video

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