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Survey about stores, classical music, teeth, frown, children and muscles.

Begin Survey

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

2. Do you have any pets? Yes No

3. Do you have or use a PDA (Personal Digital Assistant)? Yes No

4. Do you practice yoga? Yes No

5. Do you attend regular religious services? Yes No

6. Do you belong to a credit union? Yes No

7. Do you enjoy classical music? Yes No

8. Do you have any piercings? Yes No

9. Will you visit a hardware or home improvement store this week? Yes No

10. Do you fly an American flag at home? Yes No

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

12. Do your children attend public schools? 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: - Theodore Roosevelt was blind in his left eye. - At one time, pumpkins were recommended for removing freckles. - It takes 17 muscles to smile, 43 to frown. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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