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Survey about psychiatrists, glasses, therapists, slippers, work and pumpkins.

Begin Survey

1. Will you ride on a bus this week? Yes No

2. Do you own a pair of fuzzy bunny slippers? Yes No

3. Do you work outside of the home? Yes No

4. Do you belong to a labor union? Yes No

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

6. Do you own your home? Yes No

7. Do you wear glasses/contacts? Yes No

8. Are you involved in volunteerism? Yes No

9. Do you have any houseplants? Yes No

10. Do you enjoy card games? Yes No

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

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

13. Will you be staying at a hotel this week? Yes No

14. 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: - Ralph Lauren's original name is Ralph Lifshitz. - At one time, pumpkins were recommended for removing freckles. - More people have a phobia of frogs than rats. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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