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Survey about reading, night, flu, work, teeth and psychiatrists.

Begin Survey

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

2. Should government employees be randomly tested for illicit drug use? Yes No

3. Do you use mouthwash? Yes No

4. Do you enjoy reading non-fiction books for pleasure? Yes No

5. Do you own a matching set of luggage? Yes No

6. Do you get a flu shot every winter? Yes No

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

8. Will you visit a therapist or psychiatrist this week? Yes No

9. Do you have road rage? Yes No

10. Do you have a swimming pool? Yes No

11. Do you work outside of the home? Yes No

12. Do you plan on visiting the public library this week? Yes No

13. Are you a veteran? Yes No

14. Do you use a dishwasher to do your dishes? Yes No

15. Will you consume any alcoholic beverages this weekend? Yes No

16. 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: - 20252 is Smokey the Bear's own zip code. - The average French citizen eats 500 snails per year. - Half of all Americans over the age of 55 have no teeth. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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