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Survey about traffic tickets, cars, phobias, health, musical instruments and therapists.

Begin Survey

1. Do you drink enough water (6 8-ounce glasses) every day? Yes No

2. Have you ever borrowed money from a relative? Yes No

3. Have you ever gotten a traffic ticket? Yes No

4. Do you plan on visiting a comedy club this month? Yes No

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

6. Do you give your children a daily multi-vitamin? Yes No

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

8. Do you own or drive an SUV or large truck? Yes No

9. Did you graduate from high school? Yes No

10. Do you ever download music from the Internet? Yes No

11. Do you listen to talk radio? Yes No

12. Do you play any musical instruments? Yes No

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

14. Have you ever traveled by airplane? Yes No

15. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

16. Do you have any phobias? Yes No

17. Do you subscribe to your local newspaper? Yes No

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

19. Are you involved in volunteerism? Yes No

20. 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: - Leonardo da Vinci invented scissors. - Non-dairy creamer is flammable. - Neanderthal man had a brain capacity 100cc larger than modern man. - The Sears Tower in Chicago has its own zip code.

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