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Survey about massage, low-carb diet, circus, zoo, fire eater and coffee.

Begin Survey

1. Do you take a daily multi-vitamin? Yes No

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

3. Do you use charge cards? Yes No

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

5. Do you run the vacuum (or sweep) your floors every day? Yes No

6. Do you enjoy reading non-fiction books for pleasure? Yes No

7. Do you wear sunscreen every day? Yes No

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

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

10. Did you drink coffee this morning? Yes No

11. Can you drive a stick shift? Yes No

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

13. Do you fly an American flag at home? Yes No

14. Do you believe in miracles? Yes No

15. Do you have children? Yes No

16. Do you wear glasses/contacts? Yes No

17. Do you smoke cigarettes? Yes No

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

19. Do you plan to visit the zoo this year? Yes No

20. 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: - Pierce Brosnan once worked in the circus as a fire eater. - The average American eats approximately 60 hot dogs per year. - Babies are born without knee caps. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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