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Survey about nose, thumb, new jersey, beans, television and satellite.

Begin Survey

1. Do you wear sunscreen every day? Yes No

2. Have you ever traveled by airplane? Yes No

3. Have you ever been in a car accident? Yes No

4. Will you rent a DVD or video this weekend? Yes No

5. Will you order take-out or delivery food from a restaurant this week? Yes No

6. Do you own a motorcycle? Yes No

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

8. Have you ever traced your family tree? Yes No

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

10. Have you ever been arrested? Yes No

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

12. Do you have cable or satellite television? Yes No

13. Are you married? Yes No

14. Do you have any food allergies? Yes No

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

16. Do you wear cologne or perfume every day? Yes No

17. Do you have road rage? Yes No

18. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

19. 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. - Lima beans contain cyanide. - Your thumb is the same length as your nose. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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