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Survey about phobias, board games, therapists, lunch, fire eater and swimming pools.

Begin Survey

1. Will you order take-out or delivery food from a restaurant this week? Yes No

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

3. Do you use charge cards? Yes No

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

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

6. Do enjoy reading or writing poetry? Yes No

7. Do you have a swimming pool? Yes No

8. Are you a registered voter? Yes No

9. Have you ever been arrested? Yes No

10. Do you enjoy board games? Yes No

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

12. Will you visit a casino this week? Yes No

13. Are you married? Yes No

14. Do you take a bagged lunch to work every day? Yes No

15. Do you have any phobias? 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: - Pierce Brosnan once worked in the circus as a fire eater. - Honey is the only food that will not spoil. - The human brain stops growing at the age of 18. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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