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Survey about religion, slippers, religious services, jelly, flammable and attractive.

Begin Survey

1. Do you have or use an MP3 player? Yes No

2. Have you ever eaten rattlesnake meat? Yes No

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

4. Do you plan on visiting a mall this week? Yes No

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

6. Do you enjoy spicy foods? Yes No

7. Do you watch the evening news? Yes No

8. Have you ever spent more than $100 on a pair of shoes? Yes No

9. Will you attend religious services this week? Yes No

10. Do you enjoy cat-naps? Yes No

11. Do you enjoy watching cooking shows? Yes No

12. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

13. Do you brush your teeth each morning? Yes No

14. Do you enjoy reality television? Yes No

15. Do you think you are physically attractive? Yes No

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

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

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

19. Do you contribute money to any charitable organizations? Yes No

20. Will you send anyone a printed holiday, birthday, or anniversary card 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. - Non-dairy creamer is flammable. - It takes 17 muscles to smile, 43 to frown. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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