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Survey about teeth, ketchup, concerts, music, sports and radio.

Begin Survey

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

2. Do you listen to the radio in the car? Yes No

3. Do you own a gun? Yes No

4. Do you have or use an MP3 player? Yes No

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

6. Do you believe in miracles? Yes No

7. Do you have any phobias? Yes No

8. Have you ever traveled by airplane? Yes No

9. Will you go to a concert this week? Yes No

10. Do you use mouthwash? Yes No

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

12. Do you ever download music from the Internet? Yes No

13. Do you own a matching set of luggage? Yes No

14. Will you buy plants or flowers from a florist this week? Yes No

15. Will you attend religious services this week? Yes No

16. Would you consider yourself an avid sports fan? 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: - Virgina Woolf wrote all her books while standing. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - Both carrots and ketchup were once considered to have medicinal value. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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