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Survey about wills, pasta, video games, first aid, phobias and focus groups.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you have any camping trips planned for this summer? Yes No

3. Do you splash in mud puddles? Yes No

4. Are you left-handed? Yes No

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

6. Do you enjoy independent films? Yes No

7. Do you own a dictionary and/or thesaurus? Yes No

8. Have you ever participated in a focus group? Yes No

9. Do you have a land-line phone in your home? Yes No

10. Do you own a first aid kit? Yes No

11. Do you have or use a PDA (Personal Digital Assistant)? Yes No

12. Will you visit a casino this week? Yes No

13. Do you have any houseplants? Yes No

14. Do you enjoy Girl Scout cookies? Yes No

15. Have you made your will? Yes No

16. Do you enjoy playing video games? Yes No

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

18. 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The average American eats approximately 20 pounds of pasta each year. - Half of all Americans over the age of 55 have no teeth. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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