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Survey about milk, theater, 100 years, night, alcoholic beverages and trips.

Begin Survey

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

2. Are any of your grandparents still alive? Yes No

3. Do you brush your teeth before bed each night? Yes No

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

5. Do you enjoy hot bubble baths? Yes No

6. Do you drink milk? Yes No

7. Will you go see a new-release movie at a theater this week? Yes No

8. Do you believe in Santa Claus? Yes No

9. Do you have any camping trips planned for this summer? Yes No

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

11. Do you enjoy watching cooking shows? Yes No

12. Are you a registered voter? Yes No

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

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

15. Will you consume any alcoholic beverages this weekend? Yes No

16. Do you own a dictionary and/or thesaurus? Yes No

17. Do you know how to fly an airplane? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - At one time, pumpkins were recommended for removing freckles. - 80% of people over 100 years old are women. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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