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Survey about breakfast, 27, jelly, 2003, love and religion.

Begin Survey

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

2. Have you ever been in love? Yes No

3. Do you enjoy hot bubble baths? Yes No

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

5. Will you go to a bar or night club this week? Yes No

6. Do you plan to visit any U.S. National Parks this year? Yes No

7. Do you eat breakfast every morning? Yes No

8. Do you drink milk? Yes No

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

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

11. Do you enjoy cat-naps? Yes No

12. Will you visit a beauty salon this week? Yes No

13. Do you have or use an MP3 player? Yes No

14. Do you like peanut butter and jelly sandwiches? Yes No

15. Do you eat lunch every day? Yes No

16. Do you enjoy reality television? Yes No

17. 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - More people have a phobia of frogs than rats. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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