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Survey about poisonous, coffee house, tomatoes, volunteers, psychiatrists and motorcycles.

Begin Survey

1. Have you ever been in love? Yes No

2. Are you involved in volunteerism? Yes No

3. Do you plan on performing any community service this week? Yes No

4. Will you go to a concert this week? Yes No

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

6. Do you have or use a cellular phone? Yes No

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

8. Do you suffer from seasonal allergies? Yes No

9. Do you enjoy board games? Yes No

10. Have you made your will? Yes No

11. Do you splash in mud puddles? Yes No

12. Will you balance your checkbook this week? Yes No

13. Do you own a motorcycle? Yes No

14. Do you follow a vegetarian diet? Yes No

15. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

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

17. Do you listen to the radio in the car? Yes No

18. Do you believe in karma? Yes No

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

20. Do you have or use a PDA (Personal Digital Assistant)? Yes No

21. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Tomatoes were thought to be poisonous at one time. - More people have a phobia of frogs than rats. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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