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Survey about mouthwash, umbrella, coffee, walt disney, road trips and low-carb diet.

Begin Survey

1. Do you own a gun? Yes No

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

3. Do you drink diet soda? Yes No

4. Do you own a pair of fuzzy bunny slippers? Yes No

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

6. Do you enjoy spicy foods? Yes No

7. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

8. Do you keep an umbrella in your car? Yes No

9. Do you follow a low-carb diet? Yes No

10. Do you wear glasses/contacts? Yes No

11. Do you believe there is life on other planets? Yes No

12. Have you ever spent a day at a spa? Yes No

13. Will you be taking any road trips this week (over 50 miles)? Yes No

14. Do you play any organized team sports? Yes No

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

16. Are your parents still married? Yes No

17. Do you use mouthwash? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - One quarter of the human brain is used to control the eyes. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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