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Survey about jelly, fans, schools, reality television, volunteers and children.

Begin Survey

1. Do you ever download music from the Internet? Yes No

2. Have you ever placed a personals ad? Yes No

3. Do you drink milk? Yes No

4. Do you have a land-line phone in your home? Yes No

5. Will you use a coupon for any of your purchases this week? Yes No

6. Do you always wear your safety belt when in a car? Yes No

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

8. Are your immunizations up-to-date? Yes No

9. Do you have any houseplants? Yes No

10. Do your children attend public schools? Yes No

11. Are you involved in volunteerism? Yes No

12. Do you enjoy independent films? Yes No

13. Do you contribute money to any charitable organizations? Yes No

14. Do you enjoy reality television? Yes No

15. Do you enjoy watching cooking shows? Yes No

16. Have you ever purchased or sold anything on eBay? Yes No

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

18. Would you consider yourself an avid sports fan? Yes No

19. Do you read your horoscope every day? Yes No

20. Do you know CPR? Yes No

21. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - Approximately 3 billion pizzas are sold in the U.S. each year. - Your heart rate can rise as much as 30% during a yawn. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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