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Survey about siblings, phobias, identity theft, phones, heart rate and sports.

Begin Survey

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

2. Do you enjoy documentary films? Yes No

3. Do you have any siblings? Yes No

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

5. Do you have any phobias? Yes No

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

7. Do you have children? Yes No

8. Do you believe in miracles? Yes No

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

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

11. Do you smoke cigarettes? Yes No

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

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

14. Are any of your grandparents still alive? Yes No

15. Do you enjoy board games? Yes No

16. Do you think you are intelligent? Yes No

17. Are you currently attending college or taking adult enrichment classes? Yes No

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

19. Do you plan to visit the zoo this year? Yes No

20. Have you ever broken any bones? Yes No

21. 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: - Mel Blanc, the voice of Bugs Bunny, was allergic to carrots. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Your heart rate can rise as much as 30% during a yawn. - Lake Michigan is the largest lake in the United States.

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