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Survey about cigarettes, jelly, chocolate, trips, pierce brosnan and candy.

Begin Survey

1. Have you eaten fast food this week? Yes No

2. Do you plan on taking a trip by airplane this week? Yes No

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

4. Do you enjoy classical music? Yes No

5. Do you have a valid passport? Yes No

6. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

7. Do you ever dye your hair? Yes No

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

9. Do you like chocolate? Yes No

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

11. Have you ever been arrested? Yes No

12. Will you attend a college sporting event this month? Yes No

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

14. Have you ever gone sky-diving or bungee-jumping? Yes No

15. Do you own a first aid kit? Yes No

16. Do you smoke cigarettes? Yes No

17. Do you sleep with a pillow at night? Yes No

18. Do you have any houseplants? Yes No

19. 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: - Pierce Brosnan once worked in the circus as a fire eater. - Tootsie Rolls were the first wrapped penny candy in America. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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