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Survey about teeth, cher, destiny, lunch, love and manhattan island.

Begin Survey

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

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

3. Have you ever had a professional massage? Yes No

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

5. Will you order take-out or delivery food from a restaurant this week? Yes No

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

7. Do you enjoy roller coasters? Yes No

8. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

9. Do you know your cholesterol level? Yes No

10. Have you ever been in love? Yes No

11. Will you be staying at a hotel this week? Yes No

12. Do you ever dye your hair? Yes No

13. Will you go to a bar or night club this week? Yes No

14. Have you ever been arrested? Yes No

15. Do you plan on visiting the public library this week? Yes No

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

17. Do you enjoy independent films? Yes No

18. Will you ride on a bus this week? Yes No

19. Do you believe in destiny or fate? Yes No

20. 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: - Sonny and Cher originally called themselves Cleo and Caesar. - Blueberries have more antioxidants than any other fruit or vegetables. - More children are allergic to cockroaches than cats - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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