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Survey about belly button, blinks, jail, apples, digital camera and phobias.

Begin Survey

1. Do you use online banking? Yes No

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

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

4. Do you own or use a digital camera? Yes No

5. Do you think you are physically attractive? Yes No

6. Do you play any organized team sports? Yes No

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

8. Do you have any phobias? Yes No

9. Will you buy a lottery ticket this week? Yes No

10. Are you a registered voter? Yes No

11. Do you use charge cards? Yes No

12. Do your children attend public schools? Yes No

13. Do you own or drive an SUV or large truck? Yes No

14. Have you ever been arrested? Yes No

15. Will you visit a hardware or home improvement store this week? Yes No

16. 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: - Alfred Hitchcock didn't have a belly button. - Americans eat an average of 18 pounds of fresh apples each year. - Women blink nearly twice as much as men. - 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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