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Survey about safety belt, malls, luck, checking account, travel and lunch.

Begin Survey

1. Have you ever won the lottery? Yes No

2. Do you have a checking account? Yes No

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

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

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

6. Do you believe in miracles? Yes No

7. Are you a registered voter? Yes No

8. Have you ever been rock or mountain climbing? Yes No

9. Do you smoke cigarettes? Yes No

10. Do you plan on visiting a mall this week? Yes No

11. Will you visit a doctor this week? Yes No

12. Will you be staying at a hotel this week? Yes No

13. 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Approximately 3 billion pizzas are sold in the U.S. each year. - The United States produces more tobacco than it does wheat. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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