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Survey about dishwashers, artery, stores, cacoa, fate and coffeine.

Begin Survey

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

2. Do you enjoy spicy foods? Yes No

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

4. Will you attend religious services this week? Yes No

5. Will you buy a lottery ticket this week? Yes No

6. Do you believe in destiny or fate? Yes No

7. Do you attend regular religious services? Yes No

8. Have you ever placed a personals ad? Yes No

9. Do your children attend public schools? Yes No

10. Have you made your will? Yes No

11. Do you believe in karma? Yes No

12. Do you know how to fly an airplane? Yes No

13. Do you play any musical instruments? Yes No

14. Do you have any tattoos? Yes No

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

16. Do you wear cologne or perfume every day? Yes No

17. Do you subscribe to your local newspaper? Yes No

18. Do you use charge cards? Yes No

19. Do you wear a watch every day? Yes No

20. 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. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - New York's Central Park is nearly twice the size of the entire country of Monaco.

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