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Survey about first aid, night, health, pillow, grandparents and tattoos.

Begin Survey

1. Have you ever cut your own hair? Yes No

2. Do you use chewing tobacco? Yes No

3. Are you involved in volunteerism? Yes No

4. Do you enjoy hunting or fishing? Yes No

5. Do you enjoy independent films? Yes No

6. Do you suffer from seasonal allergies? Yes No

7. Will you visit a beauty salon this week? Yes No

8. Do you enjoy card games? Yes No

9. Have you ever been in a car accident? Yes No

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

11. Do you sleep with a pillow at night? Yes No

12. Do you have any tattoos? Yes No

13. Do you enjoy playing video games? Yes No

14. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

15. Do you watch the evening news? Yes No

16. Do you take a daily multi-vitamin? Yes No

17. Are any of your grandparents still alive? Yes No

18. Do you own a first aid kit? Yes No

19. Will you visit a therapist or psychiatrist this week? 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: - Pierce Brosnan once worked in the circus as a fire eater. - After the 'Popeye' comic strip was launched in 1931, spinach consumption went up by thirty-three percent in the United States. - By the age of 60, most people have lost 50% of their taste buds. - On April 12, 1965, the first Major League baseball game ever was played indoors at the Houston Astrodome.

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