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Survey about men, love, medications, chocolate, employees and digital camera.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Do you believe in miracles? Yes No

3. Do you have any siblings? Yes No

4. Do you have or use a cellular phone? Yes No

5. Have you ever been in love? Yes No

6. Do you enjoy playing video games? Yes No

7. Have you ever had a professional massage? Yes No

8. Do you like chocolate? Yes No

9. Should government employees be randomly tested for illicit drug use? Yes No

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

11. Are you left-handed? Yes No

12. Will you go to a bar or night club this week? Yes No

13. Have you ever won the lottery? Yes No

14. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

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

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

17. Do you own or use a digital camera? Yes No

18. Do you believe there is life on other planets? 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: - Sonny and Cher originally called themselves Cleo and Caesar. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Men are 6 times more likely to be struck by lightning than women. - The height of the 984-foot-tall Eiffel Tower varies, depending on the temperature, by as much as 6 inches.

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