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Survey about phobias, safety belt, work, lotteries, almonds and selling.

Begin Survey

1. Do you know CPR? Yes No

2. Do you shower at least once daily? Yes No

3. Have you ever won the lottery? Yes No

4. Do you plan on visiting the public library this week? Yes No

5. Have you ever eaten fried green tomatoes? Yes No

6. Do you own your own business or work for yourself? Yes No

7. Will you visit a doctor this week? Yes No

8. Do you have any phobias? Yes No

9. Do you enjoy board games? Yes No

10. Do you enjoy classical music? Yes No

11. Do you always wear your safety belt when in a car? Yes No

12. Have you ever been arrested? Yes No

13. Do you know how to fly an airplane? Yes No

14. Have you ever purchased or sold anything on eBay? Yes No

15. Do you like chocolate? Yes No

16. Do you suffer from seasonal allergies? Yes No

17. Do you wear a watch every day? Yes No

18. 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: - Michale Keaton's original name is Michael Douglas. - Almonds are a member of the peach family. - 80% of people over 100 years old are women. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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