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Survey about religion, health, china, the great wall, romance and winter.

Begin Survey

1. Do you attend regular religious services? Yes No

2. Have you made your will? Yes No

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

4. Do you enjoy board games? Yes No

5. Do you have a land-line phone in your home? Yes No

6. Do you have a valid passport? Yes No

7. Do you have any food allergies? Yes No

8. Have you ever placed a personals ad? Yes No

9. Do you own a dictionary and/or thesaurus? Yes No

10. Do you get a flu shot every winter? Yes No

11. Will you balance your checkbook this week? Yes No

12. Will you visit a beauty salon this week? Yes No

13. Do you own a first aid kit? 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: - Alfred Hitchcock didn't have a belly button. - The U.S. Government spent $277,000 on pickle research in 1993. - One in 500 humans has one blue eye and one brown eye. - The Great Wall stretches for about 4,500 miles across North China.

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