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Survey about pets, money, psychiatrists, flu, chocolate and trains.

Begin Survey

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

2. Will you take any train or subway rides this week? Yes No

3. Do you have any pets? Yes No

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

5. Will you go to a bar or night club this week? Yes No

6. Will you visit a beauty salon this week? Yes No

7. Do you like chocolate? Yes No

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

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

10. Do you belong to a labor union? Yes No

11. Do you get a flu shot every winter? Yes No

12. Do you think you are physically attractive? Yes No

13. Have you ever won the lottery? Yes No

14. Are you left-handed? Yes No

15. Have you ever gone sky-diving or bungee-jumping? Yes No

16. 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: - Jimmy Hoffa's middle name is Riddle. - Nutmeg is extremely poisonous if injected intravenously. - Women blink nearly twice as much as men. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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