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Survey about night, scissors, inventions, employment, retirement and cappuccino.

Begin Survey

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

2. Will you use a coupon for any of your purchases this week? Yes No

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

4. Do you have any food allergies? Yes No

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

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

7. Will you visit a beauty salon this week? Yes No

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

9. Do you watch the evening news? Yes No

10. Have you ever traced your family tree? Yes No

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

12. Are you satisfied in your current employment? Yes No

13. 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: - Leonardo da Vinci invented scissors. - Apples are a member of the rose family. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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