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Survey about psychiatrists, bubble baths, gambling, meditation, clothes and chewing tobacco.

Begin Survey

1. Do you have Internet access at home? Yes No

2. Do you own a motorcycle? Yes No

3. Do you enjoy hot bubble baths? Yes No

4. Do you believe in Santa Claus? Yes No

5. Do you practice yoga? Yes No

6. Do you drink diet soda? Yes No

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

8. Will you attend a professional sporting event this month? Yes No

9. Will you plant a vegetable and/or flower garden this year? Yes No

10. Do you own at least one pair of blue jeans? Yes No

11. Do you have a checking account? Yes No

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

13. Do you plan on taking a trip by airplane this week? Yes No

14. Do you enjoy gambling? Yes No

15. Are you involved in volunteerism? Yes No

16. Will you take any train or subway rides this week? Yes No

17. Do you enjoy playing video games? Yes No

18. Will you rent a DVD or video this weekend? Yes No

19. Do you use chewing tobacco? 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: - Mickey Mouse was the first non-human to win an Academy Award (Oscar). - Tootsie Rolls were the first wrapped penny candy in America. - Women blink nearly twice as much as men. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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