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Survey about sports, ralph lauren, phobias, broken bones, community services and earthquakes.

Begin Survey

1. Do you feel Americans file too many frivolous lawsuits? Yes No

2. Do you enjoy independent films? Yes No

3. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

4. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

5. Would you consider yourself an avid sports fan? Yes No

6. Do you plan on performing any community service this week? Yes No

7. Do you have any phobias? Yes No

8. Will you go to a bar or night club this week? Yes No

9. Have you ever broken any bones? Yes No

10. Have you ever been tested for HIV? Yes No

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

12. Have you ever gone sky-diving or bungee-jumping? Yes No

13. Do you get between 7 to 10 hours of sleep each night? Yes No

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

15. 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: - Ralph Lauren's original name is Ralph Lifshitz. - 50% of pizzas sold in the U.S. have pepperoni on them. - Women blink nearly twice as much as men. - Manhattan Island of New York City was purchased for $24 from the Algonquian Indians in 1624.

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