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Survey about birthdays, cars, pets, peanuts, hiv and grocery stores.

Begin Survey

1. Have you ever spent a day at a spa? Yes No

2. Will you go to the grocery store this week? Yes No

3. Do you listen to talk radio? Yes No

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

5. Do you follow a low-carb diet? Yes No

6. Have you ever eaten rattlesnake meat? Yes No

7. Are your immunizations up-to-date? Yes No

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

9. Can you whistle? Yes No

10. Do you have road rage? Yes No

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

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

13. Will you take any train or subway rides this week? Yes No

14. Do you have any pets? Yes No

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

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

17. Do you have children? Yes No

18. Do you always wear your safety belt when in a car? Yes No

19. Have you ever traveled by airplane? Yes No

20. Will you travel outside of the U.S. this year? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Peanuts are one of the ingredients in dynamite. - The United States produces more tobacco than it does wheat. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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