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Survey about phobias, relatives, teeth, muscles, cable and money.

Begin Survey

1. Do you brush your teeth after lunch? Yes No

2. Have you ever been in love? Yes No

3. Will you travel outside of the U.S. this year? Yes No

4. Have you eaten fast food this week? Yes No

5. Will you go to the grocery store this week? Yes No

6. Do you have any phobias? Yes No

7. Do you think you are intelligent? Yes No

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

9. Can you whistle? Yes No

10. Do you read your horoscope every day? Yes No

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

12. Are your immunizations up-to-date? Yes No

13. Have you made your will? Yes No

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

15. Do you have cable or satellite television? 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: - Napoleon constructed his battle plans in a sandbox. - The average American eats approximately 20 pounds of pasta each year. - The tongue is the strongest muscle in the human body. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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