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Survey about mouthwash, children, horoscopes, carrots, airplanes and hollywood.

Begin Survey

1. Do you drink diet soda? Yes No

2. Do enjoy reading or writing poetry? Yes No

3. Do you belong to a labor union? Yes No

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

5. Will you go to the grocery store this week? Yes No

6. Do you have a checking account? Yes No

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

8. Do you read your horoscope every day? Yes No

9. Do you enjoy hunting or fishing? Yes No

10. Will you rent a DVD or video this weekend? Yes No

11. Do you ever use a tanning bed? Yes No

12. Do you have children? Yes No

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

14. Do you plan on taking a trip by airplane this week? Yes No

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

16. Do you enjoy board games? Yes No

17. Have you ever eaten rattlesnake meat? Yes No

18. Do you use mouthwash? 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - Headache pain can be reduced by eating 20 tart cherries. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - There are 10 towns/cities named Hollywood in the United States.

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