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Survey about teeth, tattoos, luggage, health, travel and hair.

Begin Survey

1. Do you read your horoscope every day? Yes No

2. Do you have any tattoos? Yes No

3. Do you read the comics? Yes No

4. Do you plan on visiting a comedy club this month? Yes No

5. Do you practice yoga? Yes No

6. Do you brush your teeth before bed each night? Yes No

7. Do you believe in miracles? Yes No

8. Will you order take-out or delivery food from a restaurant this week? Yes No

9. Will you be taking any road trips this week (over 50 miles)? Yes No

10. Do you plan on visiting the public library this week? Yes No

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

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

13. Will you attend a college sporting event this month? Yes No

14. Do you get a flu shot every winter? Yes No

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

16. Have you ever spent a day at a spa? Yes No

17. Are you involved in volunteerism? Yes No

18. Do you ever dye your hair? Yes No

19. 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: - Ralph Lauren's original name is Ralph Lifshitz. - Gatorade was named for the University of Florida (Gators where it was first developed. - Half of all Americans over the age of 55 have no teeth. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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