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Survey about malls, psychiatrists, cars, fate, lotteries and blinks.

Begin Survey

1. Do you have any food allergies? Yes No

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

3. Do you own a motorcycle? Yes No

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

5. Will you visit a casino this week? Yes No

6. Do you plan on visiting a mall this week? Yes No

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

8. Do you enjoy Girl Scout cookies? Yes No

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

10. Do you contribute money to any charitable organizations? Yes No

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

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

13. Do you plan on visiting the public library this week? Yes No

14. Do you always wear your safety belt when in a car? Yes No

15. Do you have or use a PDA (Personal Digital Assistant)? Yes No

16. Do you play any musical instruments? Yes No

17. Have you ever won the lottery? Yes No

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

19. Do you have road rage? 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: - Michale Keaton's original name is Michael Douglas. - Americans eat an average of 18 pounds of fresh apples each year. - A blink lasts approximately 0.3 seconds. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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