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Survey about airplanes, central park, hiv, pepperoni, hunting and honesty.

Begin Survey

1. Do you speak any foreign languages? Yes No

2. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

3. Have you ever taken dance lessons? Yes No

4. Do you have or use an MP3 player? Yes No

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

6. Are your parents still married? Yes No

7. Have you ever traced your family tree? Yes No

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

9. Have you ever been less than honest on your resume? Yes No

10. Have you ever been tested for HIV? Yes No

11. Do you know CPR? Yes No

12. Have you ever responded to a personals ad? Yes No

13. Do you run the vacuum (or sweep) your floors every day? Yes No

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

15. Have you ever eaten fried green tomatoes? Yes No

16. Have you ever been in a car accident? Yes No

17. Do you enjoy hunting or fishing? Yes No

18. Do you enjoy classical music? Yes No

19. Have you ever traveled by airplane? Yes No

20. Do you have any food allergies? Yes No

21. 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: - Theodore Roosevelt was blind in his left eye. - 50% of pizzas sold in the U.S. have pepperoni on them. - The United States produces more tobacco than it does wheat. - Central Park (in New York City) has 125 drinking fountains.

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