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Survey about cranberry juice, jelly, sandwiches, children, traffic tickets and health insurance.

Begin Survey

1. Do you give your children a daily multi-vitamin? Yes No

2. Have you ever gotten a traffic ticket? Yes No

3. Do you have any phobias? Yes No

4. Do you know how to fly an airplane? Yes No

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

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

7. Have you ever taken dance lessons? Yes No

8. Do you enjoy documentary films? Yes No

9. Have you ever been rock or mountain climbing? Yes No

10. Do you play any musical instruments? Yes No

11. Do you use chewing tobacco? Yes No

12. Do you have health insurance? Yes No

13. Do you plan on visiting the public library this week? 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. - The Massachusetts state beverage is Cranberry Juice. - In the average lifetime a person will breathe in about 44 pounds of dust. - The Golden Gate Bridge was first opened in 1937.

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