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Survey about blue jeans, hiv, seed, pets, birthdays and insurance.

Begin Survey

1. Do you enjoy independent films? Yes No

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

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

4. Do you own at least one pair of blue jeans? Yes No

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

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

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

8. Do you eat breakfast every morning? Yes No

9. Do you plan on visiting a mall this week? Yes No

10. Do you follow a vegetarian diet? Yes No

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

12. Do you use mouthwash? Yes No

13. Do you have any pets? Yes No

14. Have you ever been the target of identity theft? Yes No

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

16. Have you ever cut your own hair? Yes No

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

18. Do you watch the evening news? 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - The coconut is the largest seed in the world. - You are more likely to get attacked by a cow than a shark. - Sculptor Gutzon Borglum began drilling into the 6,200-foot Mount Rushmore in 1927. The sculpting of Mount Rushmore took 14 years and cost a $1 million.

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