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Survey about roller-skating, sandwiches, water, movies, diet soda and teeth.

Begin Survey

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

2. Do you smoke cigarettes? Yes No

3. Do you contribute money to any charitable organizations? Yes No

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

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

6. Do you splash in mud puddles? Yes No

7. Do you drink diet soda? Yes No

8. Do you have an annual check-up or exam with your family doctor? Yes No

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

10. Do you like chocolate? Yes No

11. Do you wear cologne or perfume every day? Yes No

12. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

13. Have you ever been less than honest on your income tax return? Yes No

14. Do you use online banking? Yes No

15. Do you drink enough water (6 8-ounce glasses) every day? Yes No

16. Will you go to a concert this week? Yes No

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

18. Do you enjoy gambling? Yes No

19. Do you own or use a digital camera? Yes No

20. Do you have any houseplants? Yes No

21. 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: - Barbie's full name is Barbara Millicent Roberts. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - 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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