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Survey about pennsylvania, mouthwash, socks, safety belt, console and boats.

Begin Survey

1. Do you have or use a cellular phone? Yes No

2. Will you attend a professional sporting event this month? Yes No

3. Are you currently attending college or taking adult enrichment classes? Yes No

4. Do you always wear your safety belt when in a car? Yes No

5. Will you ride on a bus this week? Yes No

6. Do you know CPR? Yes No

7. Do you own a boat, camper, or other recreational vehicle? Yes No

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

9. Do you enjoy spicy foods? Yes No

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

11. Do you use mouthwash? Yes No

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

13. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

14. Do you drink diet soda? Yes No

15. Do you take a daily multi-vitamin? Yes No

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

17. 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: - Albert Einstein never wore any socks. - A ripe cranberry will bounce. - More children are allergic to cockroaches than cats - On a clear day, you can see five states from atop the Empire State Building in New York City: New York, New Jersey, Connecticut, Massachusetts, and Pennsylvania.

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