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Survey about fishing, love, personal ads, dyslexic, chewing tobacco and hiv.

Begin Survey

1. Do you use chewing tobacco? Yes No

2. Do you drink milk? Yes No

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

4. Do you own a pair of fuzzy bunny slippers? Yes No

5. Do you follow a low-carb diet? Yes No

6. Do you have a land-line phone in your home? Yes No

7. Do you have a savings account? Yes No

8. Have you ever traced your family tree? Yes No

9. Do you enjoy hunting or fishing? Yes No

10. Have you ever responded to a personals ad? Yes No

11. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

12. Do you have any food allergies? Yes No

13. Do you plan to visit the zoo this year? Yes No

14. Do you enjoy spicy foods? Yes No

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

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

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

18. Will you see a play this month? Yes No

19. Do you drink enough water (6 8-ounce glasses) 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: - Leonardo da Vinci was dyslexic. - Headache pain can be reduced by eating 20 tart cherries. - Half of all Americans over the age of 55 have no teeth. - The first lighthouse in England was built in 1619 at the Lizard, Cornwall.

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