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Survey about dead, community services, fate, espresso, shopping and seeds.

Begin Survey

1. Do you have any phobias? Yes No

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

3. Are your parents still married? Yes No

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

5. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

7. Do you have any pets? Yes No

8. Will you be taking any road trips this week (over 50 miles)? Yes No

9. Are your immunizations up-to-date? Yes No

10. Would you consider yourself an avid sports fan? Yes No

11. Will you go to the grocery store this week? Yes No

12. Do you wear cologne or perfume every day? Yes No

13. Have you ever been less than honest on your resume? Yes No

14. Should government employees be randomly tested for illicit drug use? 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - The average strawberry has about 200 seeds on it. - Only 1 person in 2 billion will live to be 116. - The State of Louisiana was named after the French King Louis XIV.

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