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Survey about children, horoscopes, spicy food, hiv, lunch and smoking.

Begin Survey

1. Are you a veteran? Yes No

2. Do you follow a low-carb diet? Yes No

3. Do you follow a vegetarian diet? Yes No

4. Do you enjoy spicy foods? Yes No

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

6. Will you be staying at a hotel this week? Yes No

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

8. Do you believe there is life on other planets? Yes No

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

10. Do you smoke cigarettes? Yes No

11. Do you use online banking? Yes No

12. Do you read your horoscope every day? Yes No

13. Have you ever eaten fried green tomatoes? Yes No

14. Do you have children? Yes No

15. Do you wear sandals/flip-flops in the summer? Yes No

16. Will you go see a new-release movie at a theater this week? Yes No

17. Do you brush your teeth after lunch? 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: - More people have seen David Copperfield perform live than any other performer in the world. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - The human brain stops growing at the age of 18. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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