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Survey about romance, michael douglas, loans, relatives, money and vegetables.

Begin Survey

1. Do you suffer from seasonal allergies? Yes No

2. Have you ever broken any bones? Yes No

3. Are your parents still married? Yes No

4. Will you plant a vegetable and/or flower garden this year? Yes No

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

6. Do you have or use an MP3 player? Yes No

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

8. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

9. Have you ever had a professional massage? Yes No

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

11. Do you ever use a tanning bed? Yes No

12. Do you think you are physically attractive? Yes No

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

14. Do you have a valid passport? Yes No

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

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

17. Will you take any train or subway rides this week? Yes No

18. 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. - Apples are a member of the rose family. - More children are allergic to cockroaches than cats - Buckingham Palace has over six hundred rooms.

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