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Survey about buckingham palace, family, jelly, espresso, retirement and religion.

Begin Survey

1. Have you ever been in a car accident? Yes No

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

3. Do you splash in mud puddles? Yes No

4. Can you whistle? Yes No

5. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

6. Do you have any siblings? Yes No

7. Do you sing in the shower? Yes No

8. Do you have any pets? Yes No

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

10. Do you have an annual check-up or exam with your family doctor? Yes No

11. Will you ride on a bus this week? Yes No

12. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

13. Do you shower at least once daily? Yes No

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

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

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

17. Do you listen to talk radio? Yes No

18. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Seaweed is used to thicken ice cream. - The average American consumes 9 pounds of food additives every year. - Buckingham Palace has over six hundred rooms.

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