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Survey about wills, console, jelly, theme parks, blue jeans and employment.

Begin Survey

1. Are you satisfied in your current employment? Yes No

2. Have you made your will? Yes No

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

4. Do you suffer from seasonal allergies? Yes No

5. Do you have any pets? Yes No

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

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

8. Are any of your grandparents still alive? Yes No

9. Do you ever download movies from the Internet? Yes No

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

11. Do you brush your teeth each morning? Yes No

12. Are you married? Yes No

13. Do you give your children a daily multi-vitamin? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - Approximately 3 billion pizzas are sold in the U.S. each year. - The liquid inside young coconuts can be used as a substitute for blood plasma. - The State of Louisiana was named after the French King Louis XIV.

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