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Survey about dvds, movies, college, hiv, theaters and coffee.

Begin Survey

1. Will you attend a college sporting event this month? Yes No

2. Do you work outside of the home? Yes No

3. Do you think you are physically attractive? Yes No

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

5. Do you use mouthwash? Yes No

6. Have you made your will? Yes No

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

8. Do you have road rage? Yes No

9. Do you have any pets? Yes No

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

11. Do you enjoy Girl Scout cookies? Yes No

12. Will you go see a new-release movie at a theater this week? Yes No

13. Do you plan on visiting the public library this week? Yes No

14. Do enjoy reading or writing poetry? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - A blink lasts approximately 0.3 seconds. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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