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Survey about shoes, siblings, theme parks, teeth, phobias and ethnic foods.

Begin Survey

1. Do you enjoy gambling? Yes No

2. Do you know CPR? Yes No

3. Do you have any phobias? Yes No

4. Will you be visiting any theme parks this year? Yes No

5. Do you have any siblings? Yes No

6. Do you enjoy ethnic foods? Yes No

7. Do your children attend public schools? Yes No

8. Do you splash in mud puddles? Yes No

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

10. Have you ever broken any bones? Yes No

11. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

12. Do you brush your teeth each morning? Yes No

13. Are you married? 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: - Albert Einstein never wore any socks. - Onions have no flavor, only a smell. - Your thumb is the same length as your nose. - On February 22, 1985, the one billionth vehicle passed over the Golden Gate Bridge.

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