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Survey about health, teeth, shopping, bars, card games and life.

Begin Survey

1. Have you ever spent a day at a spa? Yes No

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

3. Do you enjoy spicy foods? Yes No

4. Do you believe there is life on other planets? Yes No

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

6. Do you enjoy card games? Yes No

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

8. Do you drink enough water (6 8-ounce glasses) every day? Yes No

9. Do you like chocolate? Yes No

10. Will you attend a college sporting event this month? Yes No

11. Did you vote in the last Presidential election? Yes No

12. Have you ever broken any bones? Yes No

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

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

15. Do you think you are physically attractive? Yes No

16. 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: - Michale Keaton's original name is Michael Douglas. - Blueberries have more antioxidants than any other fruit or vegetables. - The human brain stops growing at the age of 18. - In Washington D.C., no building may be built taller than the Washington Monument.

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