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Survey about chocolate, stores, charity, children, religion and lifshitz.

Begin Survey

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

2. Do you attend regular religious services? Yes No

3. Are you left-handed? Yes No

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

5. Do your children attend public schools? Yes No

6. Do you think you are intelligent? Yes No

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

8. Do you have any siblings? Yes No

9. Have you ever purchased or sold anything on eBay? Yes No

10. Do you enjoy card games? Yes No

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

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

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

14. 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: - Ralph Lauren's original name is Ralph Lifshitz. - Chocolate does not cause acne. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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