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Survey about teeth, checkbooks, subways, trains, election and milk.

Begin Survey

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

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

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

4. Do you wear glasses/contacts? Yes No

5. Do you follow a low-carb diet? Yes No

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

7. Do you think you are intelligent? Yes No

8. Will you take any train or subway rides this week? Yes No

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

10. Do you have any siblings? Yes No

11. Do you smoke cigarettes? Yes No

12. Do you drink milk? Yes No

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

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

15. Have you ever placed a personals ad? Yes No

16. Did you vote in the last Presidential election? Yes No

17. Do you enjoy cooking or baking? Yes No

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

19. 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - The Massachusetts state beverage is Cranberry Juice. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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