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Survey about food, night, pda, health, grandparents and relatives.

Begin Survey

1. Do you brush your teeth before bed each night? Yes No

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

3. Have you ever been arrested? Yes No

4. Do you enjoy hunting or fishing? Yes No

5. Have you ever gotten a traffic ticket? Yes No

6. Do you have any food allergies? Yes No

7. Do you use a dishwasher to do your dishes? Yes No

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

9. Do you enjoy gambling? Yes No

10. Do you have or use a cellular phone? Yes No

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

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

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

14. Do you plan on visiting a mall this week? Yes No

15. Have you ever borrowed money from a relative? Yes No

16. Have you ever eaten rattlesnake meat? Yes No

17. Are you married? Yes No

18. Do you subscribe to your local newspaper? Yes No

19. Are your parents still married? Yes No

20. Can you whistle? Yes No

21. 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Gatorade was named for the University of Florida (Gators where it was first developed. - The average person falls asleep in seven minutes. - Air conditioners completely recycle the air throughout the Empire State Building about every 10 minutes.

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