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Survey about teeth, contact lenses, tobacco, military, morning and wheat.

Begin Survey

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

2. Do you always wear your safety belt when in a car? Yes No

3. Do you sing in the shower? Yes No

4. Would you consider yourself an avid sports fan? Yes No

5. Do you brush your teeth each morning? Yes No

6. Do you enjoy independent films? Yes No

7. Will you go to the grocery store this week? Yes No

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

9. Do you belong to a labor union? Yes No

10. Do you wear glasses/contacts? Yes No

11. Will you plant a vegetable and/or flower garden this year? Yes No

12. Do you own a gun? Yes No

13. Have you ever been less than honest on your income tax return? Yes No

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

15. Will you buy a lottery ticket this week? Yes No

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

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

18. Will you visit a beauty salon this week? Yes No

19. Should government employees be randomly tested for illicit drug use? Yes No

20. Are your immunizations up-to-date? Yes No

21. 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - At one time, pumpkins were recommended for removing freckles. - The United States produces more tobacco than it does wheat. - Lake Michigan is the largest lake in the United States.

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