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Survey about teeth, grocery stores, family, personal ads, reading and shopping.

Begin Survey

1. Do you use chewing tobacco? Yes No

2. Do you play any musical instruments? Yes No

3. Do you have an annual check-up or exam with your family doctor? Yes No

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

5. Do you have a VCR? Yes No

6. Will you attend a professional sporting event this month? Yes No

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

8. Do you have any camping trips planned for this summer? Yes No

9. Do you enjoy card games? Yes No

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

11. Do you have any pets? Yes No

12. Do enjoy reading or writing poetry? Yes No

13. Do you have a savings account? Yes No

14. Do you have any food allergies? Yes No

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

16. Do you wear mittens? Yes No

17. 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: - Al Capone's business card said he was a used furniture dealer. - Honey is the only food that will not spoil. - After the age of 35, about 1 in 27 women will give birth to twins. After 50, the chances of having twins is 1 in 9. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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