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Survey about first aid, writing, television, new jersey, hiv and vegetarian diet.

Begin Survey

1. Are you a veteran? Yes No

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

3. Do you follow a vegetarian diet? Yes No

4. Would you consider yourself to be in good overall health? Yes No

5. Have you eaten fast food this week? Yes No

6. Will you ride on a bus this week? Yes No

7. Do you eat breakfast every morning? Yes No

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

9. Do enjoy reading or writing poetry? Yes No

10. Do you believe in karma? Yes No

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

12. Do you have a swimming pool? Yes No

13. Do you keep an umbrella in your car? Yes No

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

15. Do you use mouthwash? Yes No

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

17. 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: - John F. Kennedy is the only U.S president to win a Pulitzer Prize. - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Neanderthal man had a brain capacity 100cc larger than modern man. - Ho-Ho-Kus, a small town in New Jersey, is the only town in the United States of America that has two dashes in its name.

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