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Survey about reading, blue jeans, peanut butter, onion, slippers and medications.

Take a fun daily life survey about reading, blue jeans, peanut butter, onion, slippers and medications. Get a chance to win prizes, earn rewards and money. Find out interesting facts about yourself and others.

Begin Survey
1. Will you go see a new-release movie at a theater this week?
Yes No
2. Do you own a pair of fuzzy bunny slippers?
Yes No
3. Do you enjoy watching cooking shows?
Yes No
4. Do enjoy reading or writing poetry?
Yes No
5. Do you take any prescribed daily medications?
Yes No
6. Do you like peanut butter and jelly sandwiches?
Yes No
7. Will you use a coupon for any of your purchases this week?
Yes No
8. Do you contribute money to any charitable organizations?
Yes No
9. Do you own at least one pair of blue jeans?
Yes No
10. Have you ever gotten a traffic ticket?
Yes No
11. Have you ever eaten fried green tomatoes?
Yes No
12. Do you own your own business or work for yourself?
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:

- Babe Ruth wore No. 3 because he batted third.
- The onion is named after a Latin word meaning large pearl.
- One quarter of the human brain is used to control the eyes.
- The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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