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Survey about australia, comics, coffee substitute, frogs, night and holidays.

Begin Survey

1. Do you have children? Yes No

2. Do you plan to visit any U.S. National Parks this year? Yes No

3. Do you splash in mud puddles? Yes No

4. Do you have any phobias? Yes No

5. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Do you read the comics? Yes No

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

9. Do you have a checking account? Yes No

10. Do you get a flu shot every winter? Yes No

11. Have you ever been arrested? Yes No

12. Will you go to a bar or night club this week? Yes No

13. Will you travel outside of the U.S. this year? Yes No

14. Do you take a daily multi-vitamin? Yes No

15. Will you go see a new-release movie at a theater this week? Yes No

16. Do you plan on visiting a mall this week? Yes No

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

18. Have you ever cut your own hair? Yes No

19. Do you plan on performing any community service this week? 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: - Houdini was the first man to fly a plane solo in Australia. - Dandelion root can be roasted and ground as a coffee substitute. - More people have a phobia of frogs than rats. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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