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Survey about fans, law, florists, pillow, health insurance and sports.

Begin Survey

1. Do you enjoy documentary films? Yes No

2. Do you have health insurance? Yes No

3. Do you have a valid passport? Yes No

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

5. Would you consider yourself an avid sports fan? Yes No

6. Do you use mouthwash? Yes No

7. Have you ever responded to a personals ad? Yes No

8. Do you eat breakfast every morning? Yes No

9. Do you sleep with a pillow at night? Yes No

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

11. Do you enjoy watching cooking shows? Yes No

12. Will you engage in rigorous physical activity at least three times this week? Yes No

13. Do you plan to visit the zoo this year? Yes No

14. Do you have any phobias? Yes No

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

16. Do you always drive within the posted speed limit? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - By the age of 60, most people have lost 50% of their taste buds. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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