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Survey about grandparents, children, doctor, religious services, 1967 and yoga.

Begin Survey

1. Are any of your grandparents still alive? Yes No

2. Do you subscribe to your local newspaper? Yes No

3. Do you use mouthwash? Yes No

4. Did you drink coffee this morning? Yes No

5. Will you attend religious services this week? Yes No

6. Do you have Internet access at home? Yes No

7. Have you ever traveled by airplane? Yes No

8. Can you whistle? Yes No

9. Do you have an annual check-up or exam with your family doctor? Yes No

10. Do you practice yoga? Yes No

11. Do you shower at least once daily? Yes No

12. Have you ever pilfered office supplies from work? Yes No

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

14. Do you wear cologne or perfume every day? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - The average strawberry has about 200 seeds on it. - More children are allergic to cockroaches than cats - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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