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Survey about employment, teeth, health insurance, fast food, control and shoes.

Begin Survey

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

2. Do you wear cologne or perfume every day? Yes No

3. Are you a registered voter? Yes No

4. Do you know CPR? Yes No

5. Do you enjoy cooking or baking? Yes No

6. Do you have health insurance? Yes No

7. Will you visit a doctor this week? Yes No

8. Do you follow a low-carb diet? Yes No

9. Do you have a DVD player? Yes No

10. Do you have a swimming pool? Yes No

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

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

13. Have you ever spent more than $100 on a pair of shoes? Yes No

14. Have you eaten fast food this week? 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: - Daniel Boone hated coonskin caps. - The average strawberry has about 200 seeds on it. - One quarter of the human brain is used to control the eyes. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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