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Survey about writing, wilma flintstones, sleep, shoes, night and poetry.

Begin Survey

1. Do you have any phobias? Yes No

2. Do you get a flu shot every winter? Yes No

3. Do you sleep with a pillow at night? Yes No

4. Do you suffer from seasonal allergies? Yes No

5. Do you belong to any professional organizations? Yes No

6. Do you have children? Yes No

7. Do enjoy reading or writing poetry? Yes No

8. Do you ever dye your hair? Yes No

9. Have you ever traveled by airplane? Yes No

10. Are you involved in volunteerism? Yes No

11. Are you a registered voter? Yes No

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

13. Will you attend religious services this week? Yes No

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

15. Do you believe in karma? Yes No

16. Do you speak any foreign languages? Yes No

17. Have you ever spent more than $100 on a pair of shoes? Yes No

18. Have you ever had a professional massage? 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - In 2003, the U.S. Government spent about $2,000,000 on potato research. - The tongue is the strongest muscle in the human body. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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