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Survey about leonardo da vinci, intelligent, cities, multi-vitamin, watches and winter.

Begin Survey

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

2. Will you see a play this month? Yes No

3. Do you eat breakfast every morning? Yes No

4. Will you buy a lottery ticket this week? Yes No

5. Do you believe in Santa Claus? Yes No

6. Do you enjoy independent films? Yes No

7. Do you own or drive an SUV or large truck? Yes No

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

9. Do you get a flu shot every winter? Yes No

10. Do you own a Bible, Koran, or other religious book? Yes No

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

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

13. Do you have or use an MP3 player? Yes No

14. Do you think you are intelligent? Yes No

15. Have you ever been the target of identity theft? Yes No

16. Do you take any prescribed daily medications? Yes No

17. Do you give your children a daily multi-vitamin? Yes No

18. 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 could write with one hand and draw with the other at the same time. - Coca-Cola was the first soft drink to be consumed in outer space. - 15% of Americans secretly bite their toes. - There are 10 towns/cities named Hollywood in the United States.

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