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Survey about names, children, pillow, christmas, video games and traffic tickets.

Begin Survey

1. Would you consider yourself an avid sports fan? Yes No

2. Do you own at least one pair of blue jeans? Yes No

3. Do you believe in Santa Claus? Yes No

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

5. Do you have health insurance? Yes No

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

7. Have you ever gotten a traffic ticket? Yes No

8. Do you own a first aid kit? Yes No

9. Have you ever been arrested? Yes No

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

11. Do you enjoy playing video games? Yes No

12. Do you splash in mud puddles? Yes No

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

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

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

16. Do you practice yoga? Yes No

17. 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: - Barbie's full name is Barbara Millicent Roberts. - The '57' on the bottle of Heinz ketchup stands for the number of pickle varieties they once offered. - More children are allergic to cockroaches than cats - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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