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Survey about holidays, roller-skating, jelly, religious services, cholesterol and religion.

Begin Survey

1. Do you drink milk? Yes No

2. Do you have Internet access at home? Yes No

3. Do you think you are intelligent? Yes No

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

5. Do you know your cholesterol level? Yes No

6. Have you ever traveled by airplane? Yes No

7. Do you listen to the radio in the car? Yes No

8. Do you give your children a daily multi-vitamin? Yes No

9. Will you visit a casino this week? Yes No

10. Will you be taking any road trips this week (over 50 miles)? Yes No

11. Will you attend religious services this week? Yes No

12. Do you enjoy gambling? Yes No

13. Have you ever spent more than $100 on a pair of shoes? Yes No

14. Do you plan on performing any community service this week? Yes No

15. Do you ever dye your hair? Yes No

16. Do you watch the evening news? Yes No

17. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

18. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

19. 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: - Houdini was the first man to fly a plane solo in Australia. - Tootsie Rolls were the first wrapped penny candy in America. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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