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Survey about chief crazy horse, night, charity, delivery food, suv and rose family.

Begin Survey

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

2. Do you splash in mud puddles? Yes No

3. Are you left-handed? Yes No

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

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

6. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

8. Do you plan to visit the zoo this year? Yes No

9. Do you have or use a PDA (Personal Digital Assistant)? Yes No

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

11. Do you own a first aid kit? Yes No

12. Do you take any prescribed daily medications? Yes No

13. Do you own or drive an SUV or large truck? Yes No

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

15. Do you contribute money to any charitable organizations? Yes No

16. Do you have a sit-down family dinner every night? Yes No

17. Do you practice yoga? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Strawberries are a member of the rose family. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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