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Survey about teeth, first aid, busses, mouthwash, personal ads and alcoholic beverages.

Begin Survey

1. Do you ever dye your hair? Yes No

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

3. Do you use mouthwash? Yes No

4. Have you ever responded to a personals ad? Yes No

5. Do you have a swimming pool? Yes No

6. Do you speak any foreign languages? Yes No

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

8. Can you drive a stick shift? Yes No

9. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

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

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

13. Have you graduated from (or finished) college? Yes No

14. Do you believe in Santa Claus? Yes No

15. Do you have a savings account? Yes No

16. 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: - Mr. Rogers was an ordained minister. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - Your heart rate can rise as much as 30% during a yawn. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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