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Survey about airplanes, hiv, beans, college, sears tower and garden.

Begin Survey

1. Do you read your horoscope every day? Yes No

2. Will you plant a vegetable and/or flower garden this year? Yes No

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

4. Do you brush your teeth each morning? Yes No

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

6. Do you plan on visiting the public library this week? Yes No

7. Do you enjoy roller coasters? Yes No

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

9. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

10. Do you use a dishwasher to do your dishes? Yes No

11. Will you visit a doctor this week? Yes No

12. Do you have any phobias? Yes No

13. Do you have children? Yes No

14. Have you ever traveled by airplane? Yes No

15. Do you eat breakfast every morning? Yes No

16. Will you attend a college sporting event this month? Yes No

17. Are you satisfied in your current employment? Yes No

18. Do you plan on performing any community service this week? 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: - Oil tycoon John D. Rockefeller was the world's first billionaire. - Lima beans contain cyanide. - Both carrots and ketchup were once considered to have medicinal value. - The Sears Tower in Chicago has its own zip code.

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