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Survey about cooking, teeth, zip codes, beauty salons, woman and children.

Begin Survey

1. Do you have a valid passport? Yes No

2. Do you have any pets? Yes No

3. Do you enjoy classical music? Yes No

4. Do you believe in miracles? Yes No

5. Do you own your home? Yes No

6. Will you visit a beauty salon this week? Yes No

7. Do you enjoy cooking or baking? Yes No

8. Will you travel outside of the U.S. this year? Yes No

9. Do you plan on performing any community service this week? Yes No

10. Are you satisfied in your current employment? Yes No

11. Do you get between 7 to 10 hours of sleep each night? Yes No

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

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

14. Do you read your horoscope every day? Yes No

15. Can you drive a stick shift? Yes No

16. Do your children attend public schools? Yes No

17. Do you use chewing tobacco? Yes No

18. Do you have a VCR? Yes No

19. Did you graduate from high school? Yes No

20. Do you own a gun? 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: - 20252 is Smokey the Bear's own zip code. - Gatorade was named for the University of Florida (Gators where it was first developed. - 80% of people over 100 years old are women. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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