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Survey about sleep, cable, jelly, mud puddles, mountain climbing and women.

Begin Survey

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

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

3. Can you drive a stick shift? Yes No

4. Do you have children? Yes No

5. Do you take any prescribed daily medications? Yes No

6. Do you splash in mud puddles? Yes No

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

8. Do you have health insurance? Yes No

9. Do you wear cologne or perfume every day? Yes No

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

11. Will you go see a new-release movie at a theater this week? Yes No

12. Do you play any musical instruments? Yes No

13. Have you ever been rock or mountain climbing? Yes No

14. 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: - James Garfield was the first U.S. president to use a telephone. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - Men are 6 times more likely to be struck by lightning than women. - Lake Michigan is the largest lake in the United States.

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