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Survey about lunch, poisonous, psychiatrists, sky-diving, large truck and dance lessons.

Begin Survey

1. Do you own or drive an SUV or large truck? Yes No

2. Do you play any musical instruments? Yes No

3. Do you read the comics? Yes No

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

5. Have you ever traveled by airplane? Yes No

6. Do you fly an American flag at home? Yes No

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

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

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

10. Have you ever taken dance lessons? Yes No

11. Do you use chewing tobacco? Yes No

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

13. Do you have a land-line phone in your home? Yes No

14. Have you ever borrowed money from a relative? Yes No

15. Do you use mouthwash? Yes No

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

17. Do you have any piercings? Yes No

18. 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - Tomatoes were thought to be poisonous at one time. - A blink lasts approximately 0.3 seconds. - The Sears Tower in Chicago has its own zip code.

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