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Survey about smoking, work, tongue, community services, personal ads and zip codes.

Begin Survey

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

2. Will you go to the grocery store this week? Yes No

3. Have you ever been arrested? Yes No

4. Do you plan on performing any community service this week? Yes No

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

6. Will you visit a therapist or psychiatrist this week? Yes No

7. Do you sing in the shower? Yes No

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

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

10. Do you enjoy playing video games? Yes No

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

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

13. Do you enjoy science fiction/fantasy movies? Yes No

14. Do you smoke cigarettes? Yes No

15. Do you have a savings account? Yes No

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

17. Do you enjoy Girl Scout cookies? Yes No

18. Do you ever use a tanning bed? Yes No

19. Do you own your own business or work for yourself? Yes No

20. 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: - 20252 is Smokey the Bear's own zip code. - The average American eats approximately 60 hot dogs per year. - The tongue is the strongest muscle in the human body. - There are 10 towns/cities named Hollywood in the United States.

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