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Survey about ho-ho-kus, beans, cher, food, theme parks and poetry.

Begin Survey

1. Do you have any food allergies? Yes No

2. Do you take a daily multi-vitamin? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Do you have a checking account? Yes No

5. Do you have any camping trips planned for this summer? Yes No

6. Do you enjoy spicy foods? Yes No

7. Do you have road rage? Yes No

8. Will you visit a beauty salon this week? Yes No

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

10. Do you have cable or satellite television? Yes No

11. Have you ever broken any bones? Yes No

12. Will you be visiting any theme parks this year? 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: - Sonny and Cher originally called themselves Cleo and Caesar. - Lima beans contain cyanide. - The liquid inside young coconuts can be used as a substitute for blood plasma. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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