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Survey about drug use, identity theft, children, phobias, camping and cologne.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you have any camping trips planned for this summer? Yes No

3. Will you consume any alcoholic beverages this weekend? Yes No

4. Do you own a dictionary and/or thesaurus? Yes No

5. Do your children attend public schools? Yes No

6. Do you get between 7 to 10 hours of sleep each night? Yes No

7. Do you have a checking account? Yes No

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

9. Do you have health insurance? Yes No

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

11. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

12. Do enjoy reading or writing poetry? Yes No

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

14. Do you enjoy reality television? Yes No

15. Do you enjoy classical music? Yes No

16. Do you use mouthwash? Yes No

17. 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: - Deborah Winger did the voice of E.T. - Non-dairy creamer is flammable. - In the average lifetime a person will breathe in about 44 pounds of dust. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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