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Survey about fans, medications, sporting events, leonardo da vinci, vcr and scissors.

Begin Survey

1. Do you enjoy science fiction/fantasy movies? Yes No

2. Would you consider yourself an avid sports fan? Yes No

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

4. Do you follow a vegetarian diet? Yes No

5. Do you use chewing tobacco? Yes No

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

7. Do you have a VCR? Yes No

8. Do you suffer from seasonal allergies? Yes No

9. Do you have any phobias? Yes No

10. Will you travel outside of the U.S. this year? Yes No

11. Do you enjoy roller coasters? Yes No

12. Will you attend a professional sporting event this month? Yes No

13. Do you enjoy reality television? Yes No

14. Do you have children? Yes No

15. 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: - Leonardo da Vinci invented scissors. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - The average American consumes 9 pounds of food additives every year. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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