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Survey about shower, coupons, physical activity, love, houdini and mouthwash.

Begin Survey

1. Do you have any food allergies? Yes No

2. Do you wear mittens? Yes No

3. Will you use a coupon for any of your purchases this week? Yes No

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

5. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

6. Do you enjoy classical music? Yes No

7. Do you have any tattoos? Yes No

8. Do you enjoy hot bubble baths? Yes No

9. Do you use mouthwash? Yes No

10. Will you engage in rigorous physical activity at least three times this week? Yes No

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

12. Will you travel outside of the U.S. this year? Yes No

13. Will you be visiting any theme parks this year? Yes No

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

15. Have you ever pilfered office supplies from work? Yes No

16. Do you sing in the shower? Yes No

17. Have you ever been in love? Yes No

18. 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: - Houdini was the first man to fly a plane solo in Australia. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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