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Survey about haircut, egypt, hiv, blinks, board games and winter.

Begin Survey

1. Do you have any phobias? Yes No

2. Are you left-handed? Yes No

3. Do you listen to talk radio? Yes No

4. Do you have a valid passport? Yes No

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

6. Do you have a checking account? Yes No

7. Have you ever been tested for HIV? Yes No

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

9. Do you watch Saturday morning cartoons? Yes No

10. Do you follow a vegetarian diet? Yes No

11. Have you made your will? Yes No

12. Do you follow a low-carb diet? Yes No

13. Have you ever pilfered office supplies from work? Yes No

14. Do you own or use a digital camera? Yes No

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

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

17. Do you attend regular religious services? Yes No

18. Do you enjoy board games? Yes No

19. 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: - Cleopatra wasn't Egyptian; she was Greek. - The average American drinks 25 gallons of milk per year. - A blink lasts approximately 0.3 seconds. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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