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Survey about teeth, dinner, first aid, democracy, documentary films and karma.

Begin Survey

1. Do you work outside of the home? Yes No

2. Do you enjoy documentary films? Yes No

3. Are you a registered voter? Yes No

4. Do you wear mittens? Yes No

5. Will you go see a new-release movie at a theater this week? Yes No

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

7. Do you have a sit-down family dinner every night? Yes No

8. Do you get a flu shot every winter? Yes No

9. Have you ever borrowed money from a relative? Yes No

10. Do you have a swimming pool? Yes No

11. Do you believe in karma? Yes No

12. Do you have any pets? Yes No

13. Do you take any prescribed daily medications? Yes No

14. Do you own a first aid kit? Yes No

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

16. Are you involved in volunteerism? Yes No

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

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

19. Have you ever been in love? 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: - More people have seen David Copperfield perform live than any other performer in the world. - Approximately 3 billion pizzas are sold in the U.S. each year. - Betty Rubble made her debut as a Flintstones Vitamin in 1996. - The State of Louisiana was named after the French King Louis XIV.

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