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Survey about shoes, busses, food, money, independent films and insurance.

Begin Survey

1. Do you have any phobias? Yes No

2. Will you buy a lottery ticket this week? Yes No

3. Have you graduated from (or finished) college? Yes No

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

5. Have you ever taken dance lessons? Yes No

6. Will you ride on a bus this week? Yes No

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

8. Do you take a bagged lunch to work every day? Yes No

9. Do you know how to fly an airplane? Yes No

10. Have you ever spent more than $100 on a pair of shoes? Yes No

11. Do you read your horoscope every day? Yes No

12. Do you have any food allergies? Yes No

13. Do you like chocolate? Yes No

14. Are you involved in volunteerism? Yes No

15. Do you enjoy independent films? Yes No

16. Do you use charge cards? Yes No

17. Do you take any prescribed daily medications? Yes No

18. Do you enjoy gambling? Yes No

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

20. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - Ears of corn always have an even number of rows of kernels. - Every year about 98% of atoms in the human body are replaced. - The names of the two stone lions in front of the New York Public Library are Patience and Fortitude, named by then-mayor Fiorello LaGuardia.

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