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Survey about medications, hunting, coffeine, cockroaches, jelly and morning.

Begin Survey

1. Are you married? Yes No

2. Do you enjoy hunting or fishing? Yes No

3. Do you take a daily multi-vitamin? Yes No

4. Do you have a swimming pool? Yes No

5. Do you take any prescribed daily medications? Yes No

6. Do you think you are physically attractive? Yes No

7. Do you enjoy ethnic foods? Yes No

8. Have you ever cut your own hair? Yes No

9. Do you belong to a credit union? Yes No

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

11. Do you plan to visit the zoo this year? Yes No

12. Do you believe in karma? Yes No

13. Do you speak any foreign languages? Yes No

14. Do you eat breakfast every morning? Yes No

15. Will you be visiting any theme parks this year? Yes No

16. Do your children attend public schools? Yes No

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

18. 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 was dyslexic. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - More children are allergic to cockroaches than cats - The White House kitchen, with its five full-time chefs, is able to serve as many as 140 dinner guests, and hors d’oeuvres to more than 1,000 people.

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