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Survey about schools, reality television, ethnic foods, diet soda, multi-vitamin and breathe.

Begin Survey

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

2. Have you made your will? Yes No

3. Do you enjoy ethnic foods? Yes No

4. Do you eat breakfast every morning? Yes No

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

6. Do you have a sit-down family dinner every night? Yes No

7. Do you have any phobias? Yes No

8. Do you enjoy cat-naps? Yes No

9. Do you take a daily multi-vitamin? Yes No

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

11. Do you enjoy reality television? Yes No

12. Do you use mouthwash? Yes No

13. Do your children attend public schools? Yes No

14. Do you have children? Yes No

15. Do you drink diet soda? Yes No

16. Will you balance your checkbook this week? Yes No

17. 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Non-dairy creamer is flammable. - In the average lifetime a person will breathe in about 44 pounds of dust. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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