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Survey about jelly, large truck, grandparents, coffee, guns and peanut butter.

Begin Survey

1. Do you have any siblings? Yes No

2. Do you subscribe to your local newspaper? Yes No

3. Do you attend regular religious services? Yes No

4. Are any of your grandparents still alive? Yes No

5. Do you eat breakfast every morning? Yes No

6. Do you believe there is life on other planets? Yes No

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

8. Do you have road rage? Yes No

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

10. Do you own or drive an SUV or large truck? Yes No

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

12. Do you own a gun? Yes No

13. Have you ever pilfered office supplies from work? Yes No

14. 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: - Cleopatra wasn't Egyptian; she was Greek. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - The average American consumes 9 pounds of food additives every year. - Buckingham Palace has over six hundred rooms.

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