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Survey about fantasy, mississippi river, wilt chamberlain, music, piercings and download.

Begin Survey

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

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

3. Do you enjoy classical music? Yes No

4. Do you have a checking account? Yes No

5. Do you ever download music from the Internet? Yes No

6. Do you eat lunch every day? Yes No

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

8. Do you drink diet soda? Yes No

9. Do you use a dishwasher to do your dishes? Yes No

10. Did you drink coffee this morning? Yes No

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

12. Do you enjoy science fiction/fantasy movies? Yes No

13. Are your immunizations up-to-date? Yes No

14. Will you attend religious services this week? Yes No

15. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

16. Do you have any houseplants? Yes No

17. Do you have health insurance? Yes No

18. Do you have any piercings? Yes No

19. Do you own a dictionary and/or thesaurus? 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: - Basketball great Wilt Chamberlain never fouled out of a game. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - You are more likely to get attacked by a cow than a shark. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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