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Survey about teeth, soft drinks, beauty salons, peanut butter, seasonal allergies and multi-vitamin.

Begin Survey

1. Will you visit a beauty salon this week? Yes No

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

3. Do you suffer from seasonal allergies? Yes No

4. Do you believe in love at first sight? Yes No

5. Do you take a bagged lunch to work every day? Yes No

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

7. Do you like peanut butter and jelly sandwiches? Yes No

8. Do you use mouthwash? Yes No

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

10. Do you drink diet soda? Yes No

11. Did you drink coffee this morning? Yes No

12. Do you take a daily multi-vitamin? Yes No

13. Do you wear glasses/contacts? Yes No

14. Can you drive a stick shift? Yes No

15. Have you ever pilfered office supplies from work? Yes No

16. Do you keep an umbrella in your car? Yes No

17. Do you belong to a labor union? Yes No

18. Do you enjoy classical music? Yes No

19. Have you ever had a professional massage? 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: - The characters Bert and Ernie on Sesame Street were named after Bert the cop and Ernie the taxi driver in Frank Capra's 'It's A Wonderful Life' - In 2003, the U.S. Government spent about $2,000,000 on potato research. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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