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Survey about rats, peach family, reality television, phobias, work and smoking.

Begin Survey

1. Do you enjoy roller coasters? Yes No

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

3. Do you have any phobias? Yes No

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

5. Do you enjoy watching cooking shows? Yes No

6. Do you have children? Yes No

7. Do you enjoy playing video games? Yes No

8. Do you enjoy spicy foods? Yes No

9. Do you smoke cigarettes? Yes No

10. Do you plan on visiting a comedy club this month? Yes No

11. Will you be visiting any theme parks this year? Yes No

12. Do you enjoy reality television? Yes No

13. Will you attend religious services this week? Yes No

14. Have you ever participated in a focus group? Yes No

15. 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. - More children are allergic to cockroaches than cats - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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