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Survey about hotels, psychiatrists, therapists, download, diet soda and public library.

Begin Survey

1. Do you have or use a cellular phone? Yes No

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

3. Do you own a Bible, Koran, or other religious book? Yes No

4. Do you have any phobias? Yes No

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

6. Do you sing in the shower? Yes No

7. Do you enjoy roller coasters? Yes No

8. Do you ever download movies from the Internet? Yes No

9. Have you eaten fast food this week? Yes No

10. Do you drink diet soda? Yes No

11. Do you play any musical instruments? Yes No

12. Do you believe in karma? Yes No

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

14. Have you ever been less than honest on your resume? Yes No

15. Will you be staying at a hotel this week? Yes No

16. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

17. Do you have health insurance? Yes No

18. Do you enjoy hunting or fishing? Yes No

19. Do you give your children a daily multi-vitamin? Yes No

20. 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: - Barbie's full name is Barbara Millicent Roberts. - Peanuts are one of the ingredients in dynamite. - By the age of 60, most people have lost 50% of their taste buds. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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