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Survey about relatives, therapists, retirement, 1886, dreams and public library.

Begin Survey

1. Do you enjoy reality television? Yes No

2. Have you ever been the target of identity theft? Yes No

3. Do you have a checking account? Yes No

4. Do you have any siblings? Yes No

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

6. Do you eat lunch every day? Yes No

7. Are you left-handed? Yes No

8. Are you a registered voter? Yes No

9. Have you ever borrowed money from a relative? Yes No

10. Will you attend a college sporting event this month? Yes No

11. Do you believe in destiny or fate? Yes No

12. Do you plan on visiting the public library this week? Yes No

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

14. Do you smoke cigarettes? Yes No

15. Do you have any phobias? Yes No

16. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

17. Do you own or use a digital camera? Yes No

18. Will you use a coupon for any of your purchases this week? Yes No

19. 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - The coconut is the largest seed in the world. - Most dreams last only 5 to 20 minutes. - The first lighthouse to use electricity was the Statue of Liberty in 1886.

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