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Survey about documentary films, shopping, peanut butter, focus groups, health and slippers.

Begin Survey

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

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

3. Do you enjoy hot bubble baths? Yes No

4. Will you buy plants or flowers from a florist this week? Yes No

5. Will you engage in rigorous physical activity at least three times this week? Yes No

6. Do you enjoy documentary films? Yes No

7. Do you watch Saturday morning cartoons? Yes No

8. Do you have cable or satellite television? Yes No

9. Do you like chocolate? Yes No

10. Have you ever participated in a focus group? Yes No

11. Do you have any camping trips planned for this summer? Yes No

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

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

14. Do you own a pair of fuzzy bunny slippers? Yes No

15. Do you have children? Yes No

16. Do you get a flu shot every winter? Yes No

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

18. Can you whistle? Yes No

19. Should the ban on new lines of stem cells for research in the U.S. be lifted? 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: - 20252 is Smokey the Bear's own zip code. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - One quarter of the human brain is used to control the eyes. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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