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Survey about love, democracy, spicy food, cars, holidays and therapists.

Begin Survey

1. Do you have any pets? Yes No

2. Will you engage in rigorous physical activity at least three times this week? Yes No

3. Have you ever been in love? Yes No

4. Do you have any tattoos? Yes No

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

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

7. Do you get between 7 to 10 hours of sleep each night? Yes No

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

9. Are your immunizations up-to-date? Yes No

10. Can you drive a stick shift? Yes No

11. Do you have a checking account? Yes No

12. Do you enjoy classical music? Yes No

13. Are you a registered voter? Yes No

14. Do you take a daily multi-vitamin? Yes No

15. Do you enjoy spicy foods? Yes No

16. Do you believe in destiny or fate? Yes No

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

18. Will you send anyone a printed holiday, birthday, or anniversary card this week? 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: - Isaac Asimov is the only author to have a book in every Dewey-decimal category. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - The storage capacity of human brain exceeds 4 terrabytes. - The State of Louisiana was named after the French King Louis XIV.

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