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Survey about dictionary, karma, pizza, health, hiv and roller-skating.

Begin Survey

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

2. Do you take a bagged lunch to work every day? Yes No

3. Do you believe in karma? Yes No

4. Do you enjoy board games? Yes No

5. Do you have a DVD player? Yes No

6. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

7. Do you plan to visit the zoo this year? Yes No

8. Do you have a swimming pool? Yes No

9. Do you own a dictionary and/or thesaurus? Yes No

10. Have you made your will? Yes No

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

12. Have you ever broken any bones? 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - Approximately 3 billion pizzas are sold in the U.S. each year. - Hailed as a wonder drug in the late nineteenth century, cocaine was outlawed in the United States in 1914. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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