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Survey about stores, life, garden, coffee, peanut butter and sandwiches.

Begin Survey

1. Do you have an annual check-up or exam with your family doctor? Yes No

2. Do you take a daily multi-vitamin? Yes No

3. Did you drink coffee this morning? Yes No

4. Do you believe in destiny or fate? Yes No

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

6. Will you visit a hardware or home improvement store this week? Yes No

7. Do you believe there is life on other planets? Yes No

8. Do you have a swimming pool? Yes No

9. Will you attend a college sporting event this month? Yes No

10. Have you ever been tested for HIV? Yes No

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

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

13. Will you plant a vegetable and/or flower garden this year? Yes No

14. Have you ever been arrested? Yes No

15. Do you enjoy hot bubble baths? Yes No

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

17. Do you think you are physically attractive? Yes No

18. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

19. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Lemons contain more sugar than strawberries. - 80% of people over 100 years old are women. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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