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Survey about life, family, phobia, travel, languages and roller coasters.

Begin Survey

1. Do you smoke cigarettes? Yes No

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

3. Have you ever been tested for HIV? Yes No

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

5. Do you believe there is life on other planets? Yes No

6. Do you have any houseplants? Yes No

7. Do you enjoy roller coasters? Yes No

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

9. Do you speak any foreign languages? Yes No

10. Do your children attend public schools? Yes No

11. Do you own a matching set of luggage? Yes No

12. Do you have a savings account? Yes No

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

14. Do you have any piercings? Yes No

15. Do you have any food allergies? Yes No

16. Do you enjoy classical music? Yes No

17. Do you listen to the radio in the car? Yes No

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

19. Do you work outside of the home? 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: - Babe Ruth wore No. 3 because he batted third. - The average American drinks 25 gallons of milk per year. - More people have a phobia of frogs than rats. - Hawaii has the only royal palace in the United States – Iolani.

Related Content: phobia of roller coasters phobea survey PHOBIA SURVEY FOR MYSPACE

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