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Survey about breathe, money, subways, hiv, love and parents.

Begin Survey

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

2. Do you believe in love at first sight? Yes No

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

4. Have you ever taken dance lessons? Yes No

5. Have you ever had a professional massage? Yes No

6. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

7. Will you see a play this month? Yes No

8. Do you have health insurance? Yes No

9. Do you have a DVD player? Yes No

10. Do you enjoy independent films? Yes No

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

12. Do you have any pets? Yes No

13. Do you contribute money to any charitable organizations? Yes No

14. Will you buy a lottery ticket this week? Yes No

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

16. Are your parents still married? Yes No

17. Do you like chocolate? Yes No

18. Do you enjoy classical music? Yes No

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

20. 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: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Seaweed is used to thicken ice cream. - In the average lifetime a person will breathe in about 44 pounds of dust. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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