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Survey about doctor, theaters, florists, download, sporting events and medications.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you have a DVD player? Yes No

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

4. Do you follow a vegetarian diet? Yes No

5. Will you go see a new-release movie at a theater this week? Yes No

6. Do you ever download movies from the Internet? Yes No

7. Have you ever been less than honest on your income tax return? Yes No

8. Will you take any train or subway rides this week? Yes No

9. Will you attend a professional sporting event this month? Yes No

10. Do you use charge cards? Yes No

11. Do you take any prescribed daily medications? Yes No

12. Will you buy plants or flowers from a florist this week? Yes No

13. Do you shower at least once daily? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - 50% of pizzas sold in the U.S. have pepperoni on them. - More children are allergic to cockroaches than cats - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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