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Survey about travel, teeth, income tax, baby ruth, roller-skating and morning.

Begin Survey

1. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

2. Do you read the comics? Yes No

3. Do you enjoy reading non-fiction books for pleasure? Yes No

4. Have you ever been less than honest on your income tax return? Yes No

5. Do you have road rage? Yes No

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

7. Will you be staying at a hotel this week? Yes No

8. Do you use chewing tobacco? Yes No

9. Do you drink milk? Yes No

10. Do you have health insurance? Yes No

11. Do you wear cologne or perfume every day? Yes No

12. Do you have a checking account? Yes No

13. Do you brush your teeth each morning? Yes No

14. Have you ever cut your own hair? Yes No

15. 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: - Theodore Roosevelt was blind in his left eye. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - Between 25% to 33% of people sneeze when they are exposed to light. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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