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Survey about music, doctor, family, jail, headache pain and cooking.

Begin Survey

1. Do you enjoy reality television? Yes No

2. Will you balance your checkbook this week? Yes No

3. Do you enjoy spicy foods? Yes No

4. Do you have any houseplants? Yes No

5. Do you have health insurance? Yes No

6. Have you ever been arrested? Yes No

7. Have you ever been in a car accident? Yes No

8. Do you have an annual check-up or exam with your family doctor? Yes No

9. Do you enjoy cooking or baking? Yes No

10. Can you whistle? Yes No

11. Do you enjoy hot bubble baths? Yes No

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

13. Do you think you are intelligent? Yes No

14. 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. - Headache pain can be reduced by eating 20 tart cherries. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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