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Survey about jelly, family, teeth, limeys, food and socks.

Begin Survey

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

2. Do you have an annual check-up or exam with your family doctor? Yes No

3. Do you have any phobias? Yes No

4. Do you enjoy hunting or fishing? Yes No

5. Can you whistle? Yes No

6. Are you a registered voter? Yes No

7. Do you brush your teeth before bed each night? Yes No

8. Do you own or use a digital camera? Yes No

9. Are your parents still married? Yes No

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

11. Do you believe in Santa Claus? Yes No

12. Will you attend a professional sporting event this month? 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: - Albert Einstein never wore any socks. - Americans eat an average of 18 pounds of fresh apples each year. - English sailors were referred to as "limeys" because sailors added lime juice to their diet to combat scurvy. - The Sears Tower in Chicago has its own zip code.

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