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Survey about doctors, take-out, ebay, sports, dinner and restaurants.

Begin Survey

1. Do you suffer from seasonal allergies? Yes No

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

3. Do you own a motorcycle? Yes No

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

5. Do you enjoy hunting or fishing? Yes No

6. Will you order take-out or delivery food from a restaurant this week? Yes No

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

8. Do you have a sit-down family dinner every night? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Will you visit a doctor this week? Yes No

11. Do you have any piercings? Yes No

12. Will you see a play this month? Yes No

13. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - The coconut is the largest seed in the world. - Only 1 person in 2 billion will live to be 116. - Hawaii has the only royal palace in the United States – Iolani.

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