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Survey about peanut butter, love, phones, sleep, income tax and phobias.

Begin Survey

1. Do you plan on visiting a comedy club this month? Yes No

2. Do you have road rage? Yes No

3. Will you ride on a bus this week? Yes No

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

5. Will you attend religious services this week? Yes No

6. Do you sleep with a pillow at night? Yes No

7. Do you wear mittens? Yes No

8. Do you keep an umbrella in your car? Yes No

9. Do you have any phobias? Yes No

10. Do you drink diet soda? Yes No

11. Have you ever taken dance lessons? Yes No

12. Do you enjoy Girl Scout cookies? Yes No

13. Do you believe in love at first sight? Yes No

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

15. Do you listen to the radio in the car? Yes No

16. Do you own a motorcycle? Yes No

17. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Club Direct, a travel insurance company in Britain, provides insurance plans for protection from falling coconuts. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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