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Survey about movies, low-carb diet, dvds, fire eater, science fiction and mittens.

Begin Survey

1. Do you brush your teeth after lunch? Yes No

2. Do you enjoy television police/crime dramas? Yes No

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

4. Do you like peanut butter and jelly sandwiches? Yes No

5. Do you enjoy science fiction/fantasy movies? Yes No

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

7. Do you sing in the shower? Yes No

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

9. Do you enjoy reality television? Yes No

10. Do you wear mittens? Yes No

11. Did you graduate from high school? Yes No

12. Are your immunizations up-to-date? Yes No

13. Do you ever download music from the Internet? Yes No

14. Do you brush your teeth before bed each night? Yes No

15. Do you enjoy board games? Yes No

16. Do you own a first aid kit? Yes No

17. Have you ever responded to a personals ad? 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: - Pierce Brosnan once worked in the circus as a fire eater. - At one time, pumpkins were recommended for removing freckles. - Half of all Americans over the age of 55 have no teeth. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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