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Survey about diet soda, milk, bars, freckles, belly button and vegetables.

Begin Survey

1. Will you visit a hardware or home improvement store this week? Yes No

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

3. Do you use mouthwash? Yes No

4. Do you have a DVD player? Yes No

5. Do you drink milk? Yes No

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

7. Do you wear a watch every day? Yes No

8. Do you drink diet soda? Yes No

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

10. Have you ever broken any bones? Yes No

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

12. Will you take any train or subway rides this week? Yes No

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

14. Have you ever had a professional massage? 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: - Alfred Hitchcock didn't have a belly button. - At one time, pumpkins were recommended for removing freckles. - 15% of Americans secretly bite their toes. - Hawaii has the only royal palace in the United States – Iolani.

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