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Survey about soft drinks, income tax, iolani, video games, cat-naps and psychiatrists.

Begin Survey

1. Have you ever been less than honest on your income tax return? Yes No

2. Do you enjoy playing video games? Yes No

3. Do you have any phobias? Yes No

4. Have you ever spent a day at a spa? Yes No

5. Do you drink diet soda? Yes No

6. Do you enjoy cat-naps? Yes No

7. Do you always wear your safety belt when in a car? Yes No

8. Do you own a first aid kit? Yes No

9. Do you know your cholesterol level? Yes No

10. Are you left-handed? Yes No

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

12. Do you eat lunch every day? Yes No

13. Will you visit a therapist or psychiatrist this week? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - More people have a phobia of frogs than rats. - Hawaii has the only royal palace in the United States – Iolani.

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