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Survey about pulitzer price, console, night, massachusetts, peanut butter and passports.

Begin Survey

1. Have you ever taken dance lessons? Yes No

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

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

4. Are your immunizations up-to-date? Yes No

5. Do you have any phobias? Yes No

6. Do you use mouthwash? Yes No

7. Have you made your will? Yes No

8. Do you use a dishwasher to do your dishes? Yes No

9. Do you have a valid passport? Yes No

10. Do you brush your teeth before bed each night? Yes No

11. Have you eaten fast food this week? Yes No

12. Did you graduate from high school? Yes No

13. Would you consider yourself an avid sports fan? Yes No

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

15. Can you drive a stick shift? Yes No

16. Do you practice yoga? Yes No

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

18. 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: - John F. Kennedy is the only U.S president to win a Pulitzer Prize. - The Massachusetts state beverage is Cranberry Juice. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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