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Survey about trips, ralph lauren, peanut butter, driving, mountain climbing and tornados.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you have any siblings? Yes No

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

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

5. Do you plan on visiting a mall this week? Yes No

6. Do you plan on taking a trip by airplane this week? Yes No

7. Have you ever taken dance lessons? Yes No

8. Do you take a daily multi-vitamin? Yes No

9. Do you enjoy playing video games? Yes No

10. Do you enjoy independent films? Yes No

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

12. Can you drive a stick shift? Yes No

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

14. Have you ever been rock or mountain climbing? Yes No

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

16. Do you own your own business or work for yourself? Yes No

17. Will you order take-out or delivery food from a restaurant this week? Yes No

18. Do you believe in love at first sight? 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: - Ralph Lauren's original name is Ralph Lifshitz. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Neanderthal man had a brain capacity 100cc larger than modern man. - Built around 2800 B.C., England’s Stonehenge was designed to align exactly with the sun’s rays on June 21.

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