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Survey about dance lessons, safety belt, evening news, peanut butter, shopping and independent films.

Begin Survey

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

2. Do you watch the evening news? Yes No

3. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

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

5. Do you always wear your safety belt when in a car? Yes No

6. Have you ever taken dance lessons? Yes No

7. Do you enjoy watching cooking shows? Yes No

8. Will you go to the grocery store this week? Yes No

9. Have you ever been the target of identity theft? Yes No

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

11. Do you have any pets? Yes No

12. Do you enjoy independent films? Yes No

13. Do you use mouthwash? Yes No

14. Do you have a DVD player? Yes No

15. Do you like peanut butter and jelly sandwiches? Yes No

16. Do you follow a vegetarian diet? Yes No

17. Do you drink milk? 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: - Mr. Rogers was an ordained minister. - Seaweed is used to thicken ice cream. - Babies are born without knee caps. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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