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Survey about frank sinatra, therapists, horoscopes, health, newspapers and contact lenses.

Begin Survey

1. Do you have any houseplants? Yes No

2. Do you own your own business or work for yourself? Yes No

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

4. Have you ever been rock or mountain climbing? Yes No

5. Have you ever placed a personals ad? Yes No

6. Do you wear a watch every day? Yes No

7. Do you believe there is life on other planets? Yes No

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

9. Do you use charge cards? Yes No

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

11. Do you eat lunch every day? Yes No

12. Do you plan on visiting the public library this week? Yes No

13. Do you have any tattoos? Yes No

14. Do you wear glasses/contacts? Yes No

15. Do you belong to a labor union? Yes No

16. Will you go see a new-release movie at a theater this week? Yes No

17. Do you listen to talk radio? Yes No

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

19. Do you subscribe to your local newspaper? Yes No

20. Do you have any food allergies? Yes No

21. 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: - Frank Sinatra never wore or owned a pair of blue jeans. - Strawberries are a member of the rose family. - 25% of your bones are located in your feet. - 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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