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Survey about therapists, cat-naps, ralph lauren, 1953, cable and chocolate.

Begin Survey

1. Do you splash in mud puddles? Yes No

2. Do you have cable or satellite television? Yes No

3. Have you ever won the lottery? Yes No

4. Do you like chocolate? Yes No

5. Do you own a gun? Yes No

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

7. Have you ever responded to a personals ad? Yes No

8. Do you sleep with a pillow at night? Yes No

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

10. Do you enjoy cat-naps? Yes No

11. Do you have a valid passport? Yes No

12. Do you eat breakfast every morning? Yes No

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

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

15. Do you have any piercings? Yes No

16. 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. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The Eisenhower interstate system requires that one mile in every five must be straight. These straight sections are usable as airstrips in times of war or other emergencies.

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