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Survey about mouthwash, blue, campers, lighthouse, board games and flavor.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you enjoy board games? Yes No

3. Do you enjoy Girl Scout cookies? Yes No

4. Do you ever dye your hair? Yes No

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

6. Do you listen to talk radio? Yes No

7. Do you own a boat, camper, or other recreational vehicle? Yes No

8. Have you ever been tested for HIV? Yes No

9. Do you use mouthwash? Yes No

10. Do you get a flu shot every winter? Yes No

11. Will you go to a concert this week? Yes No

12. Do you belong to any professional organizations? Yes No

13. Do you have any siblings? Yes No

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

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

16. Will you visit a hardware or home improvement store this week? Yes No

17. Do you have or use an MP3 player? Yes No

18. Do you have an annual check-up or exam with your family doctor? Yes No

19. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Onions have no flavor, only a smell. - One in 500 humans has one blue eye and one brown eye. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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