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Survey about malls, work, massage, theodore roosevelt, modern man and luck.

Begin Survey

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

2. Will you ride on a bus this week? Yes No

3. Do you work outside of the home? Yes No

4. Have you ever eaten fried green tomatoes? Yes No

5. Do you contribute money to any charitable organizations? Yes No

6. Do you suffer from seasonal allergies? Yes No

7. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

8. Do you own a motorcycle? Yes No

9. Do you use mouthwash? Yes No

10. Do you own at least one pair of blue jeans? Yes No

11. Have you ever broken any bones? Yes No

12. Do you plan on visiting a mall this week? Yes No

13. Have you ever had a professional massage? Yes No

14. Have you ever gone sky-diving or bungee-jumping? Yes No

15. Have you ever won the lottery? 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: - Theodore Roosevelt was blind in his left eye. - Coca-Cola was the first soft drink to be consumed in outer space. - Neanderthal man had a brain capacity 100cc larger than modern man. - The Golden Gate Bridge was first opened in 1937.

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