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Survey about teeth, roller coasters, checking account, dynamite, health and lotteries.

Begin Survey

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

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

3. Do you have any siblings? Yes No

4. Do you enjoy roller coasters? Yes No

5. Do you ever use a tanning bed? Yes No

6. Have you ever been tested for HIV? Yes No

7. Have you ever broken any bones? Yes No

8. Have you ever won the lottery? Yes No

9. Have you ever been less than honest on your resume? Yes No

10. Are your parents still married? Yes No

11. Have you ever participated in a focus group? Yes No

12. Do you enjoy science fiction/fantasy movies? Yes No

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

14. Do you subscribe to your local newspaper? Yes No

15. Do you like chocolate? Yes No

16. Do you play any musical instruments? Yes No

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

18. Do you plan on visiting a mall this week? Yes No

19. Do you have a checking account? 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: - Betsy Ross was born with a fully formed set of teeth. - Peanuts are one of the ingredients in dynamite. - One in 500 humans has one blue eye and one brown eye. - The Great Wall stretches for about 4,500 miles across North China.

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