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Survey about satellite, blueberry jelly, cable, fast food, take-out and glasses.

Begin Survey

1. Do you belong to any professional organizations? Yes No

2. Will you take any train or subway rides this week? Yes No

3. Do you own a first aid kit? Yes No

4. Are you married? Yes No

5. Do you follow a vegetarian diet? Yes No

6. Do you have cable or satellite television? Yes No

7. Have you ever eaten rattlesnake meat? Yes No

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

9. Do you wear sunscreen every day? Yes No

10. Will you order take-out or delivery food from a restaurant this week? Yes No

11. Do you sleep with a pillow at night? Yes No

12. Do you wear glasses/contacts? Yes No

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

14. Do you enjoy card games? Yes No

15. Do you enjoy spicy foods? Yes No

16. Do you have any siblings? Yes No

17. 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. - Peanuts are one of the ingredients in dynamite. - The average American consumes 9 pounds of food additives every year. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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