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Survey about cellular phones, fate, health, doctor, psychiatrists and family.

Begin Survey

1. Do you believe in destiny or fate? Yes No

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

3. Are you left-handed? Yes No

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

5. Would you consider yourself to be in good overall health? Yes No

6. Will you visit a therapist or psychiatrist this week? Yes No

7. Do you wear mittens? Yes No

8. Do you believe in miracles? Yes No

9. Do you have or use a cellular phone? Yes No

10. Do you enjoy board games? Yes No

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

12. Do you contribute money to any charitable organizations? Yes No

13. Do you own a Bible, Koran, or other religious book? Yes No

14. Do you have a savings account? Yes No

15. 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: - Betsy Ross was born with a fully formed set of teeth. - Headache pain can be reduced by eating 20 tart cherries. - Babies are born without knee caps. - There are 10 towns/cities named Hollywood in the United States.

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