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Survey about law, doctor, belly button, birthdays, holidays and evening news.

Begin Survey

1. Do you have an annual check-up or exam with your family doctor? Yes No

2. Have you ever responded to a personals ad? Yes No

3. Have you ever been arrested? Yes No

4. Will you go to the grocery store this week? Yes No

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

6. Do you always drive within the posted speed limit? Yes No

7. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

8. Do you enjoy cooking or baking? Yes No

9. Would you consider yourself an avid sports fan? Yes No

10. Do you like chocolate? Yes No

11. Will you visit a hardware or home improvement store this week? Yes No

12. Do you watch the evening news? Yes No

13. Do you wear a watch every day? Yes No

14. Do you sleep with a pillow at night? Yes No

15. Do you smoke cigarettes? Yes No

16. Do enjoy reading or writing poetry? Yes No

17. Do you have road rage? Yes No

18. Do you enjoy playing video games? Yes No

19. Do you sing in the shower? 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: - Alfred Hitchcock didn't have a belly button. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Each year, more than 2,500 left-handed people are killed by using products made for right-handed people. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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