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Survey about multi-vitamin, night, bed, cockroaches, allergy and airplanes.

Begin Survey

1. Do you sleep with a pillow at night? Yes No

2. Do you have a VCR? Yes No

3. Have you ever traveled by airplane? Yes No

4. Do you enjoy classical music? Yes No

5. Do you enjoy science fiction/fantasy movies? Yes No

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

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

8. Do you own a Bible, Koran, or other religious book? Yes No

9. Do you know how to fly an airplane? Yes No

10. Are any of your grandparents still alive? Yes No

11. Do you enjoy reality television? Yes No

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

13. Do you read the comics? Yes No

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

15. Do you ever use a tanning bed? Yes No

16. Do you wear a watch every day? Yes No

17. Do you splash in mud puddles? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Honey is the only food that will not spoil. - More children are allergic to cockroaches than cats - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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