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Survey about vegetarian diet, jelly, medications, hardware, traffic tickets and vehicle.

Begin Survey

1. Will you visit a doctor this week? Yes No

2. Do you fly an American flag at home? Yes No

3. Do you follow a vegetarian diet? Yes No

4. Will you go to a concert this week? Yes No

5. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

6. Do you read your horoscope every day? Yes No

7. Will you balance your checkbook this week? Yes No

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

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

10. Have you ever been the target of identity theft? Yes No

11. Have you ever gotten a traffic ticket? Yes No

12. Do you drink diet soda? Yes No

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

14. Have you ever eaten rattlesnake meat? Yes No

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

16. Do you eat lunch every day? Yes No

17. Do you own a boat, camper, or other recreational vehicle? Yes No

18. Have you ever won the lottery? Yes No

19. Do you own a matching set of luggage? Yes No

20. Do you take any prescribed daily medications? 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - Lima beans contain cyanide. - One in 500 humans has one blue eye and one brown eye. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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