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Survey about coffee house, religious services, medications, hiv, veterans and multi-vitamin.

Begin Survey

1. Do you take any prescribed daily medications? Yes No

2. Do you own or use a digital camera? Yes No

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

4. Have you ever pilfered office supplies from work? Yes No

5. Do you subscribe to your local newspaper? Yes No

6. Are you a veteran? Yes No

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

8. Will you attend religious services this week? Yes No

9. Do you give your children a daily multi-vitamin? Yes No

10. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

11. Do you have road rage? Yes No

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

13. Do you play any organized team sports? Yes No

14. Do you enjoy ethnic foods? Yes No

15. Will you go to the grocery store this week? Yes No

16. Do you sing in the shower? Yes No

17. Do you have a savings account? Yes No

18. Have you ever been in love? Yes No

19. Do you ever download movies from the Internet? Yes No

20. 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: - Barbie's full name is Barbara Millicent Roberts. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Your thumb is the same length as your nose. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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