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Survey about mountain climbing, poetry, busses, winter palace, night clubs and umbrella.

Begin Survey

1. Will you ride on a bus this week? Yes No

2. Have you ever been the target of identity theft? Yes No

3. Do enjoy reading or writing poetry? Yes No

4. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

5. Do you have or use an MP3 player? Yes No

6. Do you ever download music from the Internet? Yes No

7. Will you buy plants or flowers from a florist this week? Yes No

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

9. Have you ever pilfered office supplies from work? Yes No

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

11. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

12. Have you ever been rock or mountain climbing? Yes No

13. Do you think you are physically attractive? Yes No

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

15. 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - The candy bar 'Baby Ruth' was named after the daughter of U.S. President Grover Cleveland in 1921. - 15% of Americans secretly bite their toes. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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