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Survey about hardware, pepperoni, pillow, stores, night and mud puddles.

Begin Survey

1. Do you splash in mud puddles? Yes No

2. Do you have a DVD player? Yes No

3. Do you wear mittens? Yes No

4. Do you wear sunscreen every day? Yes No

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

6. Do you attend regular religious services? Yes No

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

8. Do you follow a vegetarian diet? Yes No

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

10. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

11. Will you visit a hardware or home improvement store this week? Yes No

12. Do you own your home? 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: - Betsy Ross was born with a fully formed set of teeth. - 50% of pizzas sold in the U.S. have pepperoni on them. - Each year, more than 2,500 left-handed people are killed by using products made for right-handed people. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

Related Content: facts about yourself survey

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