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Survey about coffee, lunch, houston astrodome, seed, hiv and spicy food.

Begin Survey

1. Have you ever been in love? Yes No

2. Did you drink coffee this morning? Yes No

3. Do you eat lunch every day? Yes No

4. Do you plan on visiting the public library this week? Yes No

5. Do you enjoy classical music? Yes No

6. Do you always wear your safety belt when in a car? Yes No

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

8. Did you vote in the last Presidential election? Yes No

9. Do you suffer from seasonal allergies? Yes No

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

11. Have you ever been the target of identity theft? Yes No

12. Do you enjoy spicy foods? Yes No

13. Will you visit a doctor this week? Yes No

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

15. Do you keep an umbrella in your car? Yes No

16. Would you consider yourself to be in good overall health? Yes No

17. Have you ever gotten a traffic ticket? Yes No

18. Do you own your home? Yes No

19. 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: - Daniel Boone hated coonskin caps. - The coconut is the largest seed in the world. - By the age of 60, most people have lost 50% of their taste buds. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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