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Survey about cigarettes, earthquakes, trips, jelly, suv and theater.

Begin Survey

1. Have you ever been in a tornado, earthquake, or other natural disaster? Yes No

2. Will you visit a beauty salon this week? Yes No

3. Have you ever cut your own hair? Yes No

4. Do you smoke cigarettes? Yes No

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

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

7. Have you ever participated in a focus group? Yes No

8. Do you enjoy playing video games? Yes No

9. Have you made your will? Yes No

10. Do you have a swimming pool? Yes No

11. Do you own or drive an SUV or large truck? Yes No

12. Do you have any camping trips planned for this summer? Yes No

13. Do you get between 7 to 10 hours of sleep each night? Yes No

14. Are your parents still married? Yes No

15. Do you like peanut butter and jelly sandwiches? Yes No

16. 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: - Walt Disney named Mickey Mouse after Mickey Rooney, whose mother he dated for some time. - Chocolate does not cause acne. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The first roller-skating rink, Belgravia Skating Rink, was opened to the public in Great Britain on August 2, 1875.

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