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Survey about income tax, identity theft, phobia, money, cooking and employees.

Begin Survey

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

2. Do you eat breakfast every morning? Yes No

3. Do you enjoy watching cooking shows? Yes No

4. Do you think you are intelligent? Yes No

5. Should government employees be randomly tested for illicit drug use? Yes No

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

7. Do you belong to any professional organizations? Yes No

8. Do you wear cologne or perfume every day? Yes No

9. Will you visit a doctor this week? Yes No

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

11. Do you brush your teeth after lunch? Yes No

12. Do you shower at least once daily? Yes No

13. Do you have a VCR? Yes No

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

15. Do you have any pets? Yes No

16. Have you ever traced your family tree? Yes No

17. Will you order take-out or delivery food from a restaurant this week? Yes No

18. Do you enjoy classical music? Yes No

19. Have you ever spent more than $100 on a pair of shoes? Yes No

20. Have you ever been less than honest on your income tax return? 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: - Leonardo da Vinci was dyslexic. - The average American drinks 25 gallons of milk per year. - More people have a phobia of frogs than rats. - The Statue of Liberty is one hundred fifty one feet and one inch tall. Her index finger is eight feet long, her fingernails are thirteen inches long, and her nose is four and a half feet long.

Related Content: identity theft phobia

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