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Survey about videos, summer, peanut butter, therapists, cars and jelly.

Begin Survey

1. Do you have any food allergies? Yes No

2. Do you attend regular religious services? Yes No

3. Are you a registered voter? Yes No

4. Do you enjoy cooking or baking? Yes No

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

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

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

8. Have you ever responded to a personals ad? Yes No

9. Do you follow a vegetarian diet? Yes No

10. Have you ever traced your family tree? Yes No

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

12. Do you have any camping trips planned for this summer? Yes No

13. Will you rent a DVD or video this weekend? Yes No

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

15. Do you always wear your safety belt when in a car? Yes No

16. Will you be visiting any theme parks this year? Yes No

17. 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: - Houdini was the first man to fly a plane solo in Australia. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - Half of all Americans over the age of 55 have no teeth. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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