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Survey about names, milk, meditation, documentary films, creamer and cigarettes.

Begin Survey

1. Do you have Internet access at home? Yes No

2. Do you enjoy documentary films? Yes No

3. Do you have any phobias? Yes No

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

5. Do you watch the evening news? Yes No

6. Do you have any pets? Yes No

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

8. Do you plan on taking a trip by airplane this week? Yes No

9. Do you enjoy card games? Yes No

10. Do you smoke cigarettes? Yes No

11. Do you have a checking account? Yes No

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

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

14. Do you fly an American flag at home? Yes No

15. Do you practice yoga? Yes No

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

17. Do you drink milk? Yes No

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

19. Do you have a sit-down family dinner every night? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - Non-dairy creamer is flammable. - 15% of Americans secretly bite their toes. - Lake Michigan is the largest lake in the United States.

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