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Survey about mickey mouse, peanut butter, life, night clubs, therapists and team sports.

Begin Survey

1. Do you play any organized team sports? Yes No

2. Do you wear glasses/contacts? Yes No

3. Will you go to a bar or night club this week? Yes No

4. Do you enjoy watching cooking shows? Yes No

5. Have you ever eaten fried green tomatoes? Yes No

6. Are you left-handed? Yes No

7. Do you enjoy roller coasters? Yes No

8. Do you have Internet access at home? Yes No

9. Will you attend a professional sporting event this month? Yes No

10. Have you ever eaten rattlesnake meat? Yes No

11. Have you ever been less than honest on your income tax return? Yes No

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

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

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

15. Do you fly an American flag at home? Yes No

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

17. Will you visit a casino this week? Yes No

18. Do you drink enough water (6 8-ounce glasses) every day? Yes No

19. Do you plan on performing any community service this week? Yes No

20. 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, the creator of Mickey Mouse, was afraid of mice. - Dandelion root can be roasted and ground as a coffee substitute. - The United States produces more tobacco than it does wheat. - In Washington D.C., no building may be built taller than the Washington Monument.

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