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Survey about siblings, health, religion, slippers, ethnic foods and money.

Begin Survey

1. Do you have any siblings? Yes No

2. Do you own a matching set of luggage? Yes No

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

4. Do you use mouthwash? Yes No

5. Do you own a motorcycle? Yes No

6. Do you own at least one pair of blue jeans? Yes No

7. Do you own a gun? Yes No

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

9. Do you have a valid passport? Yes No

10. Do you have any phobias? Yes No

11. Have you ever participated in a focus group? Yes No

12. Do you have a land-line phone in your home? Yes No

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

14. Do you suffer from seasonal allergies? Yes No

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

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

17. Do you enjoy ethnic foods? Yes No

18. Do you own or drive an SUV or large truck? Yes No

19. Do you plan on visiting the public library this week? Yes No

20. Do you own a Bible, Koran, or other religious book? 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - Tootsie Rolls were the first wrapped penny candy in America. - Half of all Americans over the age of 55 have no teeth. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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