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Survey about reading, multi-vitamin, comics, teeth, phobias and therapists.

Begin Survey

1. Do you listen to talk radio? Yes No

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

3. Do you believe in Santa Claus? Yes No

4. Have you ever traced your family tree? Yes No

5. Do you have any siblings? Yes No

6. Do you take a daily multi-vitamin? Yes No

7. Have you ever been in love? Yes No

8. Will you visit a hardware or home improvement store this week? Yes No

9. Do you use mouthwash? Yes No

10. Do you brush your teeth before bed each night? Yes No

11. Do you enjoy classical music? Yes No

12. Do you have cable or satellite television? Yes No

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

14. Do you have any phobias? Yes No

15. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

16. Did you graduate from high school? Yes No

17. Do enjoy reading or writing poetry? Yes No

18. Do you believe in love at first sight? Yes No

19. Do you read the comics? Yes No

20. Do you like chocolate? 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: - Frank Sinatra never wore or owned a pair of blue jeans. - 40% of McDonald's profits come from the sale of Happy Meals - Identical twins do not have identical fingerprints. - The Golden Gate Bridge was first opened in 1937.

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