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Survey about fans, siblings, breakfast, contact lenses, jelly and mickey mouse.

Begin Survey

1. Do you have any siblings? Yes No

2. Do you own your home? Yes No

3. Do you own a boat, camper, or other recreational vehicle? Yes No

4. Did you drink coffee this morning? Yes No

5. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

6. Do you play any organized team sports? Yes No

7. Do you wear glasses/contacts? Yes No

8. Will you see a play this month? Yes No

9. Do you eat breakfast every morning? Yes No

10. Do you plan on visiting the public library this week? Yes No

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

12. Do you enjoy ethnic foods? Yes No

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

14. Have you ever taken dance lessons? Yes No

15. Would you consider yourself to be in good overall health? Yes No

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

17. Do you take a bagged lunch to work every day? Yes No

18. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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