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Survey about plants, teeth, religion, console, video games and florists.

Begin Survey

1. Do you brush your teeth each morning? Yes No

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

3. Do you have or use a PDA (Personal Digital Assistant)? Yes No

4. Do you know your cholesterol level? Yes No

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

6. Will you attend religious services this week? Yes No

7. Do you shower at least once daily? Yes No

8. Are you a registered voter? Yes No

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

10. Will you buy plants or flowers from a florist this week? Yes No

11. Do you ever download movies from the Internet? Yes No

12. Have you ever gone sky-diving or bungee-jumping? Yes No

13. Have you ever traveled by airplane? Yes No

14. Do you have any piercings? Yes No

15. Do you follow a vegetarian diet? Yes No

16. Do you have or use an MP3 player? Yes No

17. Do you enjoy playing video games? Yes No

18. Do you wear sunscreen every day? Yes No

19. Do you use chewing tobacco? Yes No

20. 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: - The characters Bert and Ernie on Sesame Street were named after Bert the cop and Ernie the taxi driver in Frank Capra's 'It's A Wonderful Life' - Apples are a member of the rose family. - Identical twins do not have identical fingerprints. - 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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