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Survey about morning, trips, glasses, clothes, loans and rats.

Begin Survey

1. Did you drink coffee this morning? Yes No

2. Do you own your home? Yes No

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

4. Do you use online banking? Yes No

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

6. Do you use mouthwash? Yes No

7. Will you visit a beauty salon this week? Yes No

8. Will you be staying at a hotel this week? Yes No

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

10. Do you use chewing tobacco? Yes No

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

12. Do you have health insurance? Yes No

13. Do you have children? Yes No

14. Do you have road rage? Yes No

15. Do you wear glasses/contacts? Yes No

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

17. Will you buy plants or flowers from a florist this week? Yes No

18. Have you made your will? Yes No

19. Do you know your cholesterol level? Yes No

20. Do you have Internet access at home? 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: - Albert Einstein never wore any socks. - Tootsie Rolls were the first wrapped penny candy in America. - More people have a phobia of frogs than rats. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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