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Survey about fried tomatoes, headache pain, food, movies, grandparents and hair.

Begin Survey

1. Do you own a Bible, Koran, or other religious book? Yes No

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

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

4. Are any of your grandparents still alive? Yes No

5. Do you have any piercings? Yes No

6. Will you rent a DVD or video this weekend? Yes No

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

8. Have you ever eaten fried green tomatoes? Yes No

9. Have you ever been in a car accident? Yes No

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

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

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

13. 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Headache pain can be reduced by eating 20 tart cherries. - During their lifetime, the average human will grow 590 miles of hair. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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