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Survey about multi-vitamin, chewing tobacco, drugs, sandwiches, peanut butter and aspirin.

Begin Survey

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

2. Do you have any houseplants? Yes No

3. Are you a veteran? Yes No

4. Do you know CPR? Yes No

5. Do enjoy reading or writing poetry? Yes No

6. Do you ever download movies from the Internet? Yes No

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

8. Will you plant a vegetable and/or flower garden this year? Yes No

9. Do you enjoy reading non-fiction books for pleasure? Yes No

10. Have you ever responded to a personals ad? Yes No

11. Do you plan to visit any U.S. National Parks this year? Yes No

12. Have you ever gone sky-diving or bungee-jumping? Yes No

13. Do you own a dictionary and/or thesaurus? Yes No

14. Do you use chewing tobacco? Yes No

15. Do you wear mittens? Yes No

16. Do you eat lunch every day? Yes No

17. Do you give your children a daily multi-vitamin? Yes No

18. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

20. Do you sleep with a pillow at night? 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: - Houdini was the first man to fly a plane solo in Australia. - Blueberries have more antioxidants than any other fruit or vegetables. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - In Washington D.C., no building may be built taller than the Washington Monument.

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