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Survey about passports, night, console, 2003, christmas and sleep.

Begin Survey

1. Do you have any phobias? Yes No

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

3. Do you work outside of the home? Yes No

4. Have you made your will? Yes No

5. Do you use charge cards? Yes No

6. Have you ever been less than honest on your income tax return? Yes No

7. Did you drink coffee this morning? Yes No

8. Do you have a valid passport? Yes No

9. Will you go to a concert this week? Yes No

10. Do you follow a vegetarian diet? Yes No

11. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

13. Do you believe in Santa Claus? Yes No

14. Are you satisfied in your current employment? Yes No

15. Will you visit a doctor this week? Yes No

16. Do you eat lunch every day? Yes No

17. Do you brush your teeth before bed each night? Yes No

18. Do you know how to fly an airplane? Yes No

19. Do you sleep with a pillow at 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: - Frank Sinatra never wore or owned a pair of blue jeans. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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