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Survey about leonardo da vinci, health, jelly, teeth, winter and console.

Begin Survey

1. Have you ever been rock or mountain climbing? Yes No

2. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

3. Do you brush your teeth each morning? Yes No

4. Do you enjoy reality television? Yes No

5. Do you attend regular religious services? Yes No

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

7. Have you ever traced your family tree? Yes No

8. Do you use a dishwasher to do your dishes? Yes No

9. Do you play any musical instruments? Yes No

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

11. Do you get a flu shot every winter? Yes No

12. Do you plan on taking a trip by airplane this week? Yes No

13. Do you own a motorcycle? Yes No

14. Do you have a valid passport? Yes No

15. 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - Seaweed is used to thicken ice cream. - Every year about 98% of atoms in the human body are replaced. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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