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Survey about ebay, jail, crime, poisonous, rattlesnake and new jersey.

Begin Survey

1. Have you ever eaten rattlesnake meat? Yes No

2. Have you ever been arrested? Yes No

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

4. Have you ever borrowed money from a relative? Yes No

5. Do you brush your teeth before bed each night? Yes No

6. Do you have any food allergies? Yes No

7. Do you enjoy television police/crime dramas? Yes No

8. Have you ever purchased or sold anything on eBay? Yes No

9. Do you have children? Yes No

10. Will you be staying at a hotel this week? Yes No

11. Do you read your horoscope every day? Yes No

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

13. Are you a veteran? Yes No

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

15. Do you shower at least once daily? Yes No

16. Do you ever download music from the Internet? Yes No

17. 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - Nutmeg is extremely poisonous if injected intravenously. - Every year about 98% of atoms in the human body are replaced. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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