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Survey about cities, mouthwash, cars, soft drinks, bars and employees.

Begin Survey

1. Do you have children? Yes No

2. Do you keep an umbrella in your car? Yes No

3. Do you drink enough water (6 8-ounce glasses) every day? Yes No

4. Have you ever been in love? Yes No

5. Do you have a checking account? Yes No

6. Do you have a land-line phone in your home? Yes No

7. Do you enjoy classical music? Yes No

8. Have you ever won the lottery? Yes No

9. Do you have any phobias? Yes No

10. Do you use mouthwash? Yes No

11. Should government employees be randomly tested for illicit drug use? Yes No

12. Do your children attend public schools? Yes No

13. Will you plant a vegetable and/or flower garden this year? Yes No

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

15. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Coca-Cola was the first soft drink to be consumed in outer space. - The tongue is the strongest muscle in the human body. - There are 10 towns/cities named Hollywood in the United States.

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