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Survey about allergy, theme parks, speed, tattoos, fast food and watches.

Begin Survey

1. Do you have any food allergies? Yes No

2. Do you enjoy gambling? Yes No

3. Have you eaten fast food this week? Yes No

4. Do you have any tattoos? Yes No

5. Do you like chocolate? Yes No

6. Did you vote in the last Presidential election? Yes No

7. Have you ever been in love? Yes No

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

9. Are your immunizations up-to-date? Yes No

10. Have you ever participated in a focus group? Yes No

11. Do you wear a watch every day? Yes No

12. Have you ever spent a day at a spa? Yes No

13. Do you use a dishwasher to do your dishes? Yes No

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

15. Do you believe in miracles? Yes No

16. Will you attend a college sporting event this month? Yes No

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

18. Do you sleep with a pillow at night? Yes No

19. Do you splash in mud puddles? Yes No

20. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Strawberries are a member of the rose family. - A sneeze travels at 100 miles per hour. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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