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Survey about low-carb diet, delivery food, election, washington monument, mouthwash and siblings.

Begin Survey

1. Do you use charge cards? Yes No

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

3. Will you order take-out or delivery food from a restaurant this week? Yes No

4. Do you use mouthwash? Yes No

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

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

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

8. Have you ever borrowed money from a relative? Yes No

9. Do you have any tattoos? Yes No

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

11. Do you watch the evening news? Yes No

12. Do you smoke cigarettes? Yes No

13. Have you ever placed a personals ad? Yes No

14. Have you made your will? Yes No

15. Will you balance your checkbook this week? Yes No

16. Do you drink milk? Yes No

17. Do you watch Saturday morning cartoons? Yes No

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

19. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

20. Do you have any siblings? Yes No

21. 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: - James Garfield was the first U.S. president to use a telephone. - Honey is the only food that will not spoil. - Between 25% to 33% of people sneeze when they are exposed to light. - In Washington D.C., no building may be built taller than the Washington Monument.

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