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Survey about bars, contact lenses, phobias, new jersey, life and oscars.

Begin Survey

1. Have you ever had a professional massage? Yes No

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

3. Do you have a checking account? Yes No

4. Do you enjoy documentary films? Yes No

5. Are you currently attending college or taking adult enrichment classes? Yes No

6. Do you wear glasses/contacts? Yes No

7. Do you have any houseplants? Yes No

8. Do you have any phobias? Yes No

9. Do you believe there is life on other planets? Yes No

10. Have you ever pilfered office supplies from work? Yes No

11. Do you plan on performing any community service this week? Yes No

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

13. 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: - Mickey Mouse was the first non-human to win an Academy Award (Oscar). - Peanuts are one of the ingredients in dynamite. - Right-handed people live, on average, nine years longer than left-handed people. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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