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Survey about cable, flowers, democracy, wilma flintstones, vegetables and passports.

Begin Survey

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

2. Do you get a flu shot every winter? Yes No

3. Do you enjoy spicy foods? Yes No

4. Will you be visiting any theme parks this year? Yes No

5. Are you a registered voter? Yes No

6. Will you use a coupon for any of your purchases this week? Yes No

7. Do you wear a watch every day? Yes No

8. Do you have a valid passport? Yes No

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

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

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

12. Will you plant a vegetable and/or flower garden this year? Yes No

13. Do you plan on taking a trip by airplane this week? Yes No

14. Do you run the vacuum (or sweep) your floors every day? 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: - Wilma Flintstone's maiden name was Wilma Slaghoopal. - 50% of pizzas sold in the U.S. have pepperoni on them. - Blue eyes are the most sensitive to light (hence they can see better in the dark); brown the least sensitive. - In Washington D.C., no building may be built taller than the Washington Monument.

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