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Survey about business, money, writing, police, cigarettes and delivery food.

Begin Survey

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

2. Do you wear mittens? Yes No

3. Do you smoke cigarettes? Yes No

4. Do you enjoy television police/crime dramas? Yes No

5. Have you ever been in love? Yes No

6. Do you think you are intelligent? Yes No

7. Do enjoy reading or writing poetry? Yes No

8. Do you have or use a cellular phone? Yes No

9. Do you believe in karma? Yes No

10. Do you own your home? Yes No

11. Will you order take-out or delivery food from a restaurant this week? Yes No

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

13. Do you have or use a PDA (Personal Digital Assistant)? Yes No

14. Do you own your own business or work for yourself? Yes No

15. Do you have cable or satellite television? Yes No

16. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

17. Are you currently attending college or taking adult enrichment classes? Yes No

18. 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: - Theodore Roosevelt was blind in his left eye. - Americans eat an average of 18 pounds of fresh apples each year. - Your heart rate can rise as much as 30% during a yawn. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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