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Survey about cologne, apples, alcoholic beverages, perfume, jelly and allergy.

Begin Survey

1. Do you have a sit-down family dinner every night? Yes No

2. Do you have any food allergies? Yes No

3. Will you buy a lottery ticket this week? Yes No

4. Will you consume any alcoholic beverages this weekend? Yes No

5. Have you ever spent a day at a spa? Yes No

6. Do you belong to a credit union? Yes No

7. Do you watch the evening news? Yes No

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

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

10. Do you listen to the radio in the car? Yes No

11. Do you have a VCR? Yes No

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

13. Do you use charge cards? Yes No

14. 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: - Barbie's full name is Barbara Millicent Roberts. - Apples are a member of the rose family. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - There are 10 towns/cities named Hollywood in the United States.

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