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Survey about dishes, teeth, phobias, concerts, road trips and cocunuts.

Begin Survey

1. Are you a registered voter? Yes No

2. Do you have any phobias? Yes No

3. Do you use a dishwasher to do your dishes? Yes No

4. Will you go to a concert this week? Yes No

5. Have you ever been less than honest on your income tax return? Yes No

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

7. Do you read the comics? Yes No

8. Have you ever won the lottery? Yes No

9. Do you have a VCR? Yes No

10. Will you be taking any road trips this week (over 50 miles)? Yes No

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

12. Do you plan to visit the zoo this year? Yes No

13. Do you own a first aid kit? Yes No

14. 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: - Leonardo da Vinci was dyslexic. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The Sears Tower in Chicago has its own zip code.

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