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Survey about coffee, luck, music, television, teeth and night.

Begin Survey

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

2. Do you own your own business or work for yourself? Yes No

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

4. Do you have children? Yes No

5. Are you involved in volunteerism? Yes No

6. Do you watch Saturday morning cartoons? Yes No

7. Will you be visiting any theme parks this year? Yes No

8. Do you take a bagged lunch to work every day? Yes No

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

10. Did you drink coffee this morning? Yes No

11. Do you ever download music from the Internet? Yes No

12. Do you eat breakfast every morning? Yes No

13. Have you ever won the lottery? Yes No

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

15. Have you ever broken any bones? Yes No

16. Have you ever been rock or mountain climbing? Yes No

17. Do you enjoy spicy foods? Yes No

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

19. Have you ever responded to a personals ad? Yes No

20. 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. - Chocolate does not cause acne. - 80% of people over 100 years old are women. - The Step Pyramid is the first known monumental structure made of stone anywhere in the world. The Step Pyramid Complex of Djoser was built during the Third Dynasty (2800 B.C.) in Saqqara, Egypt.

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