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Survey about fantasy, shopping, floors, grocery stores, psychiatrists and cleaning.

Begin Survey

1. Do you enjoy gambling? Yes No

2. Are you involved in volunteerism? Yes No

3. Do you have health insurance? Yes No

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

5. Do you have a sit-down family dinner every night? Yes No

6. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

7. Do you have any food allergies? Yes No

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

9. Will you visit a therapist or psychiatrist this week? Yes No

10. Do you run the vacuum (or sweep) your floors every day? Yes No

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

12. Did you graduate from high school? Yes No

13. Do you enjoy reading non-fiction books for pleasure? Yes No

14. Will you go to the grocery store this week? Yes No

15. Do you believe in miracles? Yes No

16. Do you have a savings account? Yes No

17. Do you speak any foreign languages? Yes No

18. 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: - Leonardo da Vinci invented scissors. - The onion is named after a Latin word meaning large pearl. - 25% of your bones are located in your feet. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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