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Survey about food, chocolate, christmas, food additives, santa claus and jelly.

Begin Survey

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

2. Can you drive a stick shift? Yes No

3. Do you enjoy independent films? Yes No

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

5. Do you have any tattoos? Yes No

6. Do you have a savings account? Yes No

7. Do you believe in Santa Claus? Yes No

8. Do you enjoy reality television? Yes No

9. Have you ever taken dance lessons? Yes No

10. Do you enjoy gambling? Yes No

11. Do you like chocolate? Yes No

12. Will you buy a lottery ticket this week? Yes No

13. Do you have any food allergies? Yes No

14. 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 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. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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