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Survey about work, drug use, destiny, airplanes, koran and walt disney.

Begin Survey

1. Do you have any phobias? Yes No

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

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

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

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

6. Do you believe in destiny or fate? Yes No

7. Will you go to a concert this week? Yes No

8. Do you work outside of the home? Yes No

9. Do you enjoy ethnic foods? Yes No

10. Will you engage in rigorous physical activity at least three times this week? Yes No

11. Do you sing in the shower? Yes No

12. Do you own a Bible, Koran, or other religious book? Yes No

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

14. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - At one time, pumpkins were recommended for removing freckles. - Only 25% of Americans eat three meals a day. - Lake Michigan is the largest lake in the United States.

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