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Survey about cigarettes, cookies, teeth, christmas, law and election.

Begin Survey

1. Do you work outside of the home? Yes No

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

3. Did you graduate from high school? Yes No

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

5. Do you enjoy Girl Scout cookies? Yes No

6. Do enjoy reading or writing poetry? Yes No

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

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

9. Do you think you are intelligent? Yes No

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

11. Do you believe in Santa Claus? Yes No

12. Do you smoke cigarettes? Yes No

13. Do you drink diet soda? Yes No

14. Do you always drive within the posted speed limit? Yes No

15. Do you own a motorcycle? Yes No

16. Do you enjoy card games? Yes No

17. Will you attend religious services this week? 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: - Alfred Hitchcock didn't have a belly button. - Lemons contain more sugar than strawberries. - The liquid inside young coconuts can be used as a substitute for blood plasma. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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