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Survey about control, breakfast, dance lessons, bubble baths, drug use and night.

Begin Survey

1. Have you ever responded to a personals ad? Yes No

2. Have you ever taken dance lessons? Yes No

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

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

5. Do you brush your teeth before bed each night? Yes No

6. Will you be visiting any theme parks this year? Yes No

7. Do you drink enough water (6 8-ounce glasses) every day? Yes No

8. Do you believe in miracles? Yes No

9. Have you ever traveled by airplane? Yes No

10. Have you ever been in a car accident? Yes No

11. Do you enjoy hot bubble baths? Yes No

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

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

14. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

15. Do you eat lunch every day? Yes No

16. Do you plan on taking a trip by airplane this week? Yes No

17. Do you eat breakfast every morning? Yes No

18. Are you involved in volunteerism? Yes No

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

20. Do you belong to a credit union? Yes No

21. 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: - James Garfield was the first U.S. president to use a telephone. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - One quarter of the human brain is used to control the eyes. - There are 365 steps on the front of the U.S. Capitol Building - one for every day of the year.

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