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Survey about white house, multi-vitamin, rose family, income tax, vcr and teeth.

Begin Survey

1. Have you ever responded to a personals ad? Yes No

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

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

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

5. Do you have any houseplants? Yes No

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

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

8. Do you have a swimming pool? Yes No

9. Are you currently attending college or taking adult enrichment classes? Yes No

10. Do you always wear your safety belt when in a car? Yes No

11. Do you listen to talk radio? Yes No

12. Do you have a VCR? Yes No

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

14. 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: - Houdini was the first man to fly a plane solo in Australia. - Apples are a member of the rose family. - Only 1 person in 2 billion will live to be 116. - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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