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Survey about sandwiches, romance, peanut butter, alcoholic beverages, music and airplanes.

Begin Survey

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

2. Can you whistle? Yes No

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

4. Do you work outside of the home? Yes No

5. Do you have road rage? Yes No

6. Will you consume any alcoholic beverages this weekend? Yes No

7. Do you enjoy hunting or fishing? Yes No

8. Do you watch the evening news? Yes No

9. Have you ever placed a personals ad? Yes No

10. Will you go to a bar or night club this week? Yes No

11. Do you know how to fly an airplane? Yes No

12. Do you have any food allergies? 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - The United States has the highest minimum drinking age in the world. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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