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Survey about theater, creamer, meat, mouthwash, medications and rattlesnake.

Begin Survey

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

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

3. Have you ever eaten rattlesnake meat? Yes No

4. Do you have a swimming pool? Yes No

5. Do you work outside of the home? Yes No

6. Do you plan on visiting a comedy club this month? Yes No

7. Do you eat breakfast every morning? Yes No

8. Will you see a play this month? Yes No

9. Have you ever traveled by airplane? Yes No

10. Have you ever borrowed money from a relative? Yes No

11. Do you wear sandals/flip-flops in the summer? Yes No

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

13. Do you enjoy watching cooking shows? Yes No

14. Have you ever eaten fried green tomatoes? Yes No

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

16. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

17. Do you use mouthwash? Yes No

18. Do you own at least one pair of blue jeans? Yes No

19. Do you follow a vegetarian diet? Yes No

20. Do you get between 7 to 10 hours of sleep each night? Yes No

21. 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: - Michael Jordan was cut from his high school basketball team his sophomore year. - Non-dairy creamer is flammable. - The average person falls asleep in seven minutes. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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