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Survey about console, playstation 2, pumpkins, high school, dreams and health.

Begin Survey

1. Did you graduate from high school? Yes No

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

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

4. Will you visit a hardware or home improvement store this week? Yes No

5. Do you think you are physically attractive? Yes No

6. Do you have any pets? Yes No

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

8. Do you have any phobias? Yes No

9. Do you use a dishwasher to do your dishes? Yes No

10. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

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

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

13. 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: - Albert Einstein never wore any socks. - At one time, pumpkins were recommended for removing freckles. - Most dreams last only 5 to 20 minutes. - 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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