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Survey about musical instruments, medications, bunny, road rage, non-fiction and dvds.

Begin Survey

1. Do you have any phobias? Yes No

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

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

4. Do you enjoy gambling? Yes No

5. Do you use a dishwasher to do your dishes? Yes No

6. Will you consume any alcoholic beverages this weekend? Yes No

7. Do you have road rage? Yes No

8. Do you like chocolate? Yes No

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

10. Do you enjoy reading non-fiction books for pleasure? Yes No

11. Have you ever been less than honest on your resume? Yes No

12. Will you use a coupon for any of your purchases this week? Yes No

13. Will you buy a lottery ticket this week? Yes No

14. Do you follow a vegetarian diet? Yes No

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

16. Will you rent a DVD or video this weekend? Yes No

17. Can you whistle? Yes No

18. Do you own a pair of fuzzy bunny slippers? Yes No

19. Do you play any musical instruments? Yes No

20. Have you ever eaten rattlesnake meat? Yes No

21. 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: - Virgina Woolf wrote all her books while standing. - Tomatoes were thought to be poisonous at one time. - Right-handed people live, on average, nine years longer than left-handed people. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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