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Survey about peanut butter, left, perfume, download, writing and retirement.

Begin Survey

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

2. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

3. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

4. Do you have a VCR? Yes No

5. Do you believe in miracles? Yes No

6. Do you enjoy cooking or baking? Yes No

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

8. Will you see a play this month? Yes No

9. Do you enjoy documentary films? Yes No

10. Do you keep an umbrella in your car? Yes No

11. Have you made your will? Yes No

12. Would you consider yourself to be in good overall health? Yes No

13. Do enjoy reading or writing poetry? Yes No

14. Do you ever download music from the Internet? Yes No

15. Do you have health insurance? Yes No

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

17. Will you visit a beauty salon this week? Yes No

18. Will you use a coupon for any of your purchases this week? Yes No

19. Do you have road rage? Yes No

20. Will you attend religious services this week? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Ears of corn always have an even number of rows of kernels. - Right-handed people live, on average, nine years longer than left-handed people. - Central Park (in New York City) has 125 drinking fountains.

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