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Survey about fantasy, piercings, doctor, health, playstation 2 and flu.

Begin Survey

1. Do you believe in miracles? Yes No

2. Have you ever cut your own hair? Yes No

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

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

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

6. Do you have an annual check-up or exam with your family doctor? Yes No

7. Have you ever broken any bones? Yes No

8. Do you own your home? Yes No

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

10. Do you enjoy documentary films? Yes No

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

12. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

13. Do you have any piercings? Yes No

14. 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: - Houdini was the first man to fly a plane solo in Australia. - The average French citizen eats 500 snails per year. - More people have a phobia of frogs than rats. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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