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Survey about dinner, acne, family tree, money, drugs and aspirin.

Begin Survey

1. Can you whistle? Yes No

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

3. Do you have any piercings? Yes No

4. Will you go to a bar or night club this week? Yes No

5. Are you married? Yes No

6. Have you ever won the lottery? Yes No

7. Will you balance your checkbook this week? Yes No

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

9. Have you ever traced your family tree? Yes No

10. Do you brush your teeth each morning? Yes No

11. Do you plan on performing any community service this week? Yes No

12. Are you left-handed? Yes No

13. Do you get a flu shot every winter? Yes No

14. Do you have a sit-down family dinner every night? Yes No

15. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Chocolate does not cause acne. - In the year 1900,aspirin was the first drug was offered as a water-soluble tablet. - Hawaii has the only royal palace in the United States – Iolani.

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