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Survey about drug use, travel, fortune cookies, writing, reading and television.

Begin Survey

1. Will you rent a DVD or video this weekend? Yes No

2. Have you made your will? Yes No

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

4. Do you have cable or satellite television? Yes No

5. Do you have or use a PDA (Personal Digital Assistant)? Yes No

6. Do you own your own business or work for yourself? Yes No

7. Do you believe in love at first sight? Yes No

8. Have you ever participated in a focus group? Yes No

9. Do enjoy reading or writing poetry? Yes No

10. Do you own a matching set of luggage? Yes No

11. Do you have a valid passport? Yes No

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

13. Are you involved in volunteerism? Yes No

14. 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: - Flamenco dancer Jose Greco took out an insurance policy through Lloyd's of London against his pants splitting during a performance. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - The tongue is the strongest muscle in the human body. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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