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Survey about men, teeth, checkbooks, 20252, college and medications.

Begin Survey

1. Do you like chocolate? Yes No

2. Do you believe in love at first sight? Yes No

3. Do you enjoy watching cooking shows? Yes No

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

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

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

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

8. Do you subscribe to your local newspaper? Yes No

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

10. Have you ever taken dance lessons? Yes No

11. Will you use a coupon for any of your purchases this week? Yes No

12. Would you consider yourself an avid sports fan? 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: - 20252 is Smokey the Bear's own zip code. - Blueberries have more antioxidants than any other fruit or vegetables. - Men are 6 times more likely to be struck by lightning than women. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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