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Survey about travel, phobia, popeye, music, frogs and safety belt.

Begin Survey

1. Will you buy plants or flowers from a florist this week? Yes No

2. Will you go to the grocery store this week? Yes No

3. Do you enjoy gambling? Yes No

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

5. Do you enjoy board games? Yes No

6. Do you have any pets? Yes No

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

8. Do you enjoy cooking or baking? Yes No

9. Have you ever eaten rattlesnake meat? Yes No

10. Do you enjoy hot bubble baths? Yes No

11. Do you have any piercings? Yes No

12. Do you have any food allergies? Yes No

13. Do you like chocolate? Yes No

14. Will you travel outside of the U.S. this year? Yes No

15. Do you drink diet soda? Yes No

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

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

18. Are your immunizations up-to-date? Yes No

19. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - More people have a phobia of frogs than rats. - Lake Michigan is the largest lake in the United States.

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