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Survey about mouthwash, holidays, malls, cpr, diet soda and disasters.

Begin Survey

1. Do you like chocolate? Yes No

2. Do you use charge cards? Yes No

3. Do you drink diet soda? Yes No

4. Do you use mouthwash? Yes No

5. Do you know CPR? Yes No

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

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

8. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

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

10. Do you have a land-line phone in your home? Yes No

11. Do you have any piercings? Yes No

12. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

13. Do you enjoy documentary films? Yes No

14. Do you give your children a daily multi-vitamin? Yes No

15. 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 Hoffa's middle name is Riddle. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - 80% of people over 100 years old are women. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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