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Survey about peanut butter, music, cooking, digital camera, blue jeans and work.

Begin Survey

1. Can you whistle? Yes No

2. Do you own or use a digital camera? Yes No

3. Do you own your own business or work for yourself? Yes No

4. Do you brush your teeth after lunch? Yes No

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

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

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

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

9. Do you have a swimming pool? Yes No

10. Do you know CPR? Yes No

11. Do you get a flu shot every winter? Yes No

12. Do you enjoy watching cooking shows? Yes No

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

14. Will you go to the grocery store this week? Yes No

15. 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - The average American drinks 25 gallons of milk per year. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The State of Louisiana was named after the French King Louis XIV.

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