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Survey about airplanes, statue of liberty, internet access, medications, sports and peanut butter.

Begin Survey

1. Have you ever had a professional massage? Yes No

2. Do you know how to fly an airplane? Yes No

3. Do you wear glasses/contacts? Yes No

4. Do you plan on performing any community service this week? Yes No

5. Have you made your will? Yes No

6. Do you have a checking account? Yes No

7. Would you consider yourself an avid sports fan? Yes No

8. Will you go to the grocery store this week? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you believe in miracles? Yes No

11. Do you follow a low-carb diet? Yes No

12. Do you enjoy board games? Yes No

13. Do you take any prescribed daily medications? Yes No

14. Do you have Internet access at home? Yes No

15. Have you ever been arrested? Yes No

16. 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: - Alfred Hitchcock didn't have a belly button. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - The average person falls asleep in seven minutes. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

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