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Survey about peanut butter, american flag, attractive, cellular phones, teeth and lunch.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Do you have any food allergies? Yes No

3. Do you smoke cigarettes? Yes No

4. Have you ever taken dance lessons? Yes No

5. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

6. Do you watch the evening news? Yes No

7. Do you have any phobias? Yes No

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

9. Do you think you are physically attractive? Yes No

10. Are you satisfied in your current employment? Yes No

11. Do you have any camping trips planned for this summer? Yes No

12. Do you believe in miracles? Yes No

13. Will you consume any alcoholic beverages this weekend? Yes No

14. Do you brush your teeth each morning? Yes No

15. Do you have or use a cellular phone? Yes No

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

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

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

19. Do you eat lunch every day? Yes No

20. Will you attend a college sporting event this month? 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - Apples are a member of the rose family. - In the average lifetime a person will breathe in about 44 pounds of dust. - It takes 570 gallons of white paint to cover the outside of the White House.

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