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Survey about chewing tobacco, american flag, community services, sandals, wills and mickey mouse.

Begin Survey

1. Do you drink milk? Yes No

2. Do you fly an American flag at home? Yes No

3. Do you read your horoscope every day? Yes No

4. Do you brush your teeth after lunch? Yes No

5. Do you have any tattoos? Yes No

6. Have you made your will? Yes No

7. Do you think you are intelligent? Yes No

8. Are any of your grandparents still alive? Yes No

9. Do you plan on performing any community service this week? Yes No

10. Do you use chewing tobacco? Yes No

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

12. Do you always wear your safety belt when in a car? Yes No

13. Do you have a swimming pool? Yes No

14. Would you consider yourself to be in good overall health? Yes No

15. Do you wear sandals/flip-flops in the summer? Yes No

16. 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, the creator of Mickey Mouse, was afraid of mice. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - The average American consumes 9 pounds of food additives every year. - Buckingham Palace has over six hundred rooms.

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