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Survey about bubble baths, teeth, meals, overall health, hiv and luggage.

Begin Survey

1. Do you plan on performing any community service this week? Yes No

2. Do you brush your teeth after lunch? Yes No

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

4. Would you consider yourself to be in good overall health? Yes No

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

6. Do you own a matching set of luggage? Yes No

7. Do you enjoy classical music? Yes No

8. Do you enjoy hot bubble baths? Yes No

9. Do you have a checking account? Yes No

10. Will you travel outside of the U.S. this year? Yes No

11. Are your parents still married? Yes No

12. Do you believe in Santa Claus? Yes No

13. Do you have any piercings? Yes No

14. Will you be taking any road trips this week (over 50 miles)? Yes No

15. 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: - Michale Keaton's original name is Michael Douglas. - Americans spend more on fast food every year than they do on higher education, personal computers and software, or new cars. - Only 25% of Americans eat three meals a day. - The State of Louisiana was named after the French King Louis XIV.

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