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Survey about take-out, restaurants, bones, feet, flu and rattlesnake.

Begin Survey

1. Do you have road rage? Yes No

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

3. Do you follow a vegetarian diet? Yes No

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

5. Will you order take-out or delivery food from a restaurant this week? Yes No

6. Do you believe in Santa Claus? Yes No

7. Do you enjoy Girl Scout cookies? Yes No

8. Do you get a flu shot every winter? Yes No

9. Are your immunizations up-to-date? Yes No

10. Have you ever purchased or sold anything on eBay? Yes No

11. Have you ever eaten rattlesnake meat? Yes No

12. Did you vote in the last Presidential election? Yes No

13. Are you a registered voter? 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: - Babe Ruth wore No. 3 because he batted third. - Onions have no flavor, only a smell. - 25% of your bones are located in your feet. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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