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Survey about slippers, physical activity, tart cherries, blueberry jelly, casinos and ronald reagan.

Begin Survey

1. Do you believe in love at first sight? Yes No

2. Will you visit a casino this week? Yes No

3. Do you have any pets? Yes No

4. Do you own or use a digital camera? Yes No

5. Do you follow a low-carb diet? Yes No

6. Do you have any food allergies? Yes No

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

8. Have you ever traced your family tree? Yes No

9. Have you ever been in love? Yes No

10. Do you smoke cigarettes? Yes No

11. Will you engage in rigorous physical activity at least three times this week? Yes No

12. Do you drink diet soda? Yes No

13. Have you ever been in a car accident? 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Headache pain can be reduced by eating 20 tart cherries. - 15% of Americans secretly bite their toes. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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