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Survey about apples, allergy, central park, multi-vitamin, hotels and online banking.

Begin Survey

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

2. Do you have any food allergies? Yes No

3. Do you speak any foreign languages? Yes No

4. Do you own your own business or work for yourself? Yes No

5. Do you have any siblings? Yes No

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

7. Do you belong to any professional organizations? Yes No

8. Do you have any pets? Yes No

9. Do you own a pair of fuzzy bunny slippers? Yes No

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

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

12. Do you enjoy roller coasters? Yes No

13. Do you use online banking? Yes No

14. Do you believe in destiny or fate? Yes No

15. Do you enjoy Girl Scout cookies? Yes No

16. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

18. Will you see a play this month? Yes No

19. Do you have a checking account? 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - Americans eat an average of 18 pounds of fresh apples each year. - The liquid inside young coconuts can be used as a substitute for blood plasma. - Central Park (in New York City) has 125 drinking fountains.

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