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Survey about water, peanut butter, television, passports, health and satellite.

Begin Survey

1. Do you enjoy documentary films? Yes No

2. Do you enjoy reading non-fiction books for pleasure? Yes No

3. Do you enjoy Girl Scout cookies? Yes No

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

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

6. Have you graduated from (or finished) college? Yes No

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

8. Do you have cable or satellite television? Yes No

9. Have you ever been rock or mountain climbing? Yes No

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

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

12. Do your children attend public schools? Yes No

13. Do you shower at least once daily? Yes No

14. Do you have a valid passport? Yes No

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

16. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

18. 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: - Leonardo da Vinci was dyslexic. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - By the age of 60, most people have lost 50% of their taste buds. - There are 10 towns/cities named Hollywood in the United States.

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