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Survey about road trips, blue, mp3 players, et, teeth and chewing tobacco.

Begin Survey

1. Do you plan on performing any community service this week? Yes No

2. Do you own a gun? Yes No

3. Do you use chewing tobacco? Yes No

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

5. Have you ever been in a car accident? Yes No

6. Do you know your cholesterol level? Yes No

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

8. Do you own a Bible, Koran, or other religious book? Yes No

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

10. Have you made your will? Yes No

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

12. Will you see a play this month? Yes No

13. Do you watch Saturday morning cartoons? Yes No

14. Do you have Internet access at home? Yes No

15. 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: - Deborah Winger did the voice of E.T. - Tomatoes were thought to be poisonous at one time. - One in 500 humans has one blue eye and one brown eye. - Buckingham Palace has over six hundred rooms.

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