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Survey about ketchup, mouthwash, bunny, identity theft, peanut butter and cellular phones.

Begin Survey

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

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

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

4. Do you have or use a cellular phone? Yes No

5. Do you use chewing tobacco? Yes No

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

7. Will you go to a concert this week? Yes No

8. Do you have a DVD player? Yes No

9. Do you believe in miracles? Yes No

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

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

12. Do you have road rage? Yes No

13. Have you ever been in love? Yes No

14. Will you take any train or subway rides this week? Yes No

15. Will you travel outside of the U.S. this year? Yes No

16. Do you have a checking account? Yes No

17. Do you use mouthwash? Yes No

18. Do you listen to talk radio? Yes No

19. Did you drink coffee this morning? Yes No

20. Do you take a daily multi-vitamin? 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. - The coconut is the largest seed in the world. - Both carrots and ketchup were once considered to have medicinal value. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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