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Survey about identity theft, science fiction, piercings, fried tomatoes, teeth and phobias.

Begin Survey

1. Do you have any piercings? Yes No

2. Have you ever eaten fried green tomatoes? Yes No

3. Do you know your cholesterol level? Yes No

4. Do you ever use a tanning bed? Yes No

5. Have you ever participated in a focus group? Yes No

6. Have you ever gone sky-diving or bungee-jumping? Yes No

7. Do you have any houseplants? Yes No

8. Do you have a savings account? Yes No

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

10. Do you keep an umbrella in your car? Yes No

11. Do you drink milk? Yes No

12. Will you travel outside of the U.S. this year? Yes No

13. Do you take a bagged lunch to work every day? Yes No

14. Have you ever been the target of identity theft? Yes No

15. Do you have any phobias? Yes No

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

17. Do you like chocolate? Yes No

18. Do you brush your teeth before bed each night? 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: - Napoleon constructed his battle plans in a sandbox. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - The human brain stops growing at the age of 18. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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