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Survey about disasters, earthquakes, homes, dvds, birthdays and identity theft.

Begin Survey

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

2. Do you have any phobias? Yes No

3. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

4. Are you involved in volunteerism? Yes No

5. Have you ever been arrested? Yes No

6. Have you ever participated in a focus group? Yes No

7. Will you rent a DVD or video this weekend? Yes No

8. Do you own your home? Yes No

9. Do you smoke cigarettes? Yes No

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

11. Do you have a VCR? Yes No

12. Do you believe in karma? Yes No

13. Do you have cable or satellite television? Yes No

14. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

15. Have you ever been the target of identity theft? Yes No

16. Have you ever been in love? Yes No

17. Do you take a daily multi-vitamin? Yes No

18. Do you enjoy cat-naps? Yes No

19. 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - The average strawberry has about 200 seeds on it. - One quarter of the human brain is used to control the eyes. - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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