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Survey about passports, psychiatrists, phones, dandelion root, classical music and coffee substitute.

Begin Survey

1. Can you drive a stick shift? Yes No

2. Do you have a land-line phone in your home? Yes No

3. Have you ever been in love? Yes No

4. Do you belong to a credit union? Yes No

5. Do you have children? Yes No

6. Do you enjoy classical music? Yes No

7. Do you have road rage? Yes No

8. Will you visit a therapist or psychiatrist this week? Yes No

9. Have you ever been arrested? Yes No

10. Do you have a valid passport? Yes No

11. Do you believe there is life on other planets? Yes No

12. Have you ever participated in a focus group? Yes No

13. Are you left-handed? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - Dandelion root can be roasted and ground as a coffee substitute. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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