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Survey about teeth, baked beans, birthdays, poetry, winter palace and writing.

Begin Survey

1. Do you think you are physically attractive? Yes No

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

3. Do you watch the evening news? Yes No

4. Do you drink enough water (6 8-ounce glasses) every day? Yes No

5. Do you own a Bible, Koran, or other religious book? Yes No

6. Do you enjoy roller coasters? Yes No

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

8. Do you have or use a cellular phone? Yes No

9. Have you ever traced your family tree? Yes No

10. Do you wear sunscreen every day? Yes No

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

12. Do enjoy reading or writing poetry? Yes No

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

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

15. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Women blink nearly twice as much as men. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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