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Survey about phobias, flip-flops, sunscreen, piercings, sharks and sandals.

Begin Survey

1. Do you attend regular religious services? Yes No

2. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

3. Do you own a gun? Yes No

4. Do you wear sandals/flip-flops in the summer? Yes No

5. Do you play any musical instruments? Yes No

6. Will you engage in rigorous physical activity at least three times this week? Yes No

7. Do you wear sunscreen every day? Yes No

8. Do you have any piercings? Yes No

9. Did you vote in the last Presidential election? Yes No

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

11. Do you own or drive an SUV or large truck? Yes No

12. Do you ever download music from the Internet? Yes No

13. Do you enjoy gambling? Yes No

14. Are any of your grandparents still alive? Yes No

15. Do you have any phobias? Yes No

16. Will you use a coupon for any of your purchases this week? Yes No

17. Can you drive a stick shift? Yes No

18. Do you enjoy documentary films? Yes No

19. Do you eat lunch every day? 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - The average American drinks 25 gallons of milk per year. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - Buckingham Palace has over six hundred rooms.

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