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Survey about shower, buying, acne, boats, lunch and smoking.

Begin Survey

1. Are you a registered voter? Yes No

2. Do you splash in mud puddles? Yes No

3. Have you ever purchased or sold anything on eBay? Yes No

4. Can you drive a stick shift? Yes No

5. Do you shower at least once daily? Yes No

6. Do you give your children a daily multi-vitamin? Yes No

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

8. Do you own a boat, camper, or other recreational vehicle? Yes No

9. Do you use a dishwasher to do your dishes? Yes No

10. Do you smoke cigarettes? Yes No

11. Do you plan on visiting a comedy club this month? Yes No

12. Are you married? Yes No

13. Do you have any pets? Yes No

14. Would you consider yourself to be in good overall health? Yes No

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

16. Will you consume any alcoholic beverages this weekend? Yes No

17. Will you visit a beauty salon this week? Yes No

18. Do you have children? Yes No

19. Do you believe in miracles? Yes No

20. Are you involved in volunteerism? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Chocolate does not cause acne. - One quarter of the human brain is used to control the eyes. - Niagara Falls is constantly moving backwards. The rim is worn down about two and a half feet each year because of the millions of gallons of water that rush over it every minute.

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