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Survey about peanut butter, roller-skating, louisiana, flamenco, office supplies and chewing tobacco.

Begin Survey

1. Have you ever pilfered office supplies from work? Yes No

2. Do you know CPR? Yes No

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

4. Do you watch the evening news? Yes No

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

6. Do you own a pair of fuzzy bunny slippers? Yes No

7. Are you married? Yes No

8. Will you engage in rigorous physical activity at least three times this week? Yes No

9. Do you plan to visit any U.S. National Parks this year? Yes No

10. Have you ever spent a day at a spa? Yes No

11. Are you a registered voter? Yes No

12. Do you use chewing tobacco? Yes No

13. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Babies are born without knee caps. - The State of Louisiana was named after the French King Louis XIV.

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