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Survey about dreams, police, creamer, flu, night and charity.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

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

4. Do you brush your teeth after lunch? Yes No

5. Do you watch the evening news? Yes No

6. Have you ever been in love? Yes No

7. Have you ever been tested for HIV? Yes No

8. Do you have health insurance? Yes No

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

10. Do you read your horoscope every day? Yes No

11. Do you brush your teeth before bed each night? Yes No

12. Do you drink milk? Yes No

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

14. Are you married? Yes No

15. Do you enjoy television police/crime dramas? Yes No

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

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

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

19. Do you get a flu shot every winter? Yes No

20. 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: - Al Capone's business card said he was a used furniture dealer. - Non-dairy creamer is flammable. - Most dreams last only 5 to 20 minutes. - Buckingham Palace has over six hundred rooms.

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