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Survey about seed, community services, modern man, coconuts, zip codes and mouthwash.

Begin Survey

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

2. Do you play any musical instruments? Yes No

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

4. Have you ever been in love? Yes No

5. Have you ever responded to a personals ad? Yes No

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

7. Have you ever been tested for HIV? Yes No

8. Will you go see a new-release movie at a theater this week? Yes No

9. Do you use mouthwash? Yes No

10. Will you visit a casino this week? Yes No

11. Do you believe in karma? Yes No

12. Do you like chocolate? Yes No

13. Do you drink diet soda? Yes No

14. 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 coconut is the largest seed in the world. - Neanderthal man had a brain capacity 100cc larger than modern man. - The Great Wall stretches for about 4,500 miles across North China.

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