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Survey about dance lessons, houseplants, delivery food, 1952, luggage and mp3 players.

Begin Survey

1. Will you order take-out or delivery food from a restaurant this week? Yes No

2. Have you ever taken dance lessons? Yes No

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

4. Do you have any phobias? Yes No

5. Do you have any houseplants? Yes No

6. Do you own a matching set of luggage? Yes No

7. Do you eat breakfast every morning? Yes No

8. Do you enjoy Girl Scout cookies? Yes No

9. Will you visit a doctor this week? Yes No

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

11. Have you ever been arrested? Yes No

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

13. Do you fly an American flag at home? Yes No

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

15. Do you attend regular religious services? Yes No

16. Do you have a savings account? Yes No

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

18. Do you wear a watch every day? Yes No

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

20. 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: - Albert Einstein was offered the presidency of Israel in 1952 (he declined). - The average American eats approximately 20 pounds of pasta each year. - The United States produces more tobacco than it does wheat. - Hawaii has the only royal palace in the United States – Iolani.

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