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Survey about independent films, jelly, rattlesnake, glasses, coffee house and peanut butter.

Begin Survey

1. Do you wear sunscreen every day? Yes No

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

3. Do you have a valid passport? Yes No

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

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

6. Do you wear glasses/contacts? Yes No

7. Have you ever been the target of identity theft? Yes No

8. Do you have or use a PDA (Personal Digital Assistant)? Yes No

9. Do you enjoy independent films? Yes No

10. Do you follow a low-carb diet? Yes No

11. Are your parents still married? Yes No

12. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

13. Do you ever use a tanning bed? Yes No

14. Do you own a boat, camper, or other recreational vehicle? Yes No

15. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

16. Are you left-handed? Yes No

17. Have you ever eaten rattlesnake meat? Yes No

18. Would you consider yourself to be in good overall health? 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: - George Washington never had a set of wooden teeth, nor did he ever chop down a cherry tree. - Blueberries have more antioxidants than any other fruit or vegetables. - 80% of people over 100 years old are women. - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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