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Survey about chewing tobacco, peanut butter, concerts, religion, children and night.

Begin Survey

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

2. Do you use chewing tobacco? Yes No

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

4. Will you go to a bar or night club this week? Yes No

5. Do you listen to talk radio? Yes No

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

7. Do you plan on taking a trip by airplane this week? Yes No

8. Do you sleep with a pillow at night? Yes No

9. Have you eaten fast food this week? Yes No

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

11. Have you ever been less than honest on your income tax return? Yes No

12. Are you a registered voter? Yes No

13. Do you have cable or satellite television? Yes No

14. Do you know how to fly an airplane? Yes No

15. Have you graduated from (or finished) college? Yes No

16. Do you wear sunscreen every day? Yes No

17. Have you ever traced your family tree? Yes No

18. Do you have any siblings? Yes No

19. Will you go to a concert this week? Yes No

20. Have you ever placed a personals ad? 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: - Betsy Ross was born with a fully formed set of teeth. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - The storage capacity of human brain exceeds 4 terrabytes. - It takes 570 gallons of white paint to cover the outside of the White House.

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