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Survey about jelly, human heart, alcoholic beverages, horoscopes, campers and beverages.

Begin Survey

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

2. Do you enjoy ethnic foods? Yes No

3. Will you consume any alcoholic beverages this weekend? Yes No

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

5. Are you involved in volunteerism? Yes No

6. Do you have any tattoos? Yes No

7. Do you have a DVD player? Yes No

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

9. Will you visit a therapist or psychiatrist this week? Yes No

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

11. Are you a registered voter? Yes No

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

13. Do you have a savings account? Yes No

14. Do you think you are intelligent? Yes No

15. Do you speak any foreign languages? Yes No

16. Do you practice yoga? Yes No

17. Do you enjoy independent films? Yes No

18. Do you own a pair of fuzzy bunny slippers? Yes No

19. Do you suffer from seasonal allergies? Yes No

20. Do you brush your teeth each morning? 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: - More people have seen David Copperfield perform live than any other performer in the world. - The Massachusetts state beverage is Cranberry Juice. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - The Great Wall stretches for about 4,500 miles across North China.

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