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Survey about internet access, teeth, contact lenses, new jersey, law and shower.

Begin Survey

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

2. Do you always drive within the posted speed limit? Yes No

3. Do you enjoy documentary films? Yes No

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

5. Are you a registered voter? Yes No

6. Have you ever been less than honest on your resume? Yes No

7. Do you brush your teeth each morning? Yes No

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

9. Do you listen to the radio in the car? Yes No

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

11. Can you drive a stick shift? Yes No

12. Do you belong to a labor union? Yes No

13. 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - The Massachusetts state beverage is Cranberry Juice. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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