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Survey about health insurance, dreams, movies, flowers, night clubs and phobias.

Begin Survey

1. Will you buy plants or flowers from a florist this week? Yes No

2. Do you believe in karma? Yes No

3. Do you have health insurance? Yes No

4. Will you go to a bar or night club this week? Yes No

5. Do you have or use a PDA (Personal Digital Assistant)? Yes No

6. Did you vote in the last Presidential election? Yes No

7. Do you wear mittens? Yes No

8. Do you like peanut butter and jelly sandwiches? Yes No

9. Will you plant a vegetable and/or flower garden this year? Yes No

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

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

12. Do you have any phobias? Yes No

13. Do you splash in mud puddles? Yes No

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

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

16. 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. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - Most dreams last only 5 to 20 minutes. - Built in 1967, the world’s only flying saucer launching pad is in St. Paul, Alberta, Canada.

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