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Survey about hawaii, children, overall health, office supplies, work and lotteries.

Begin Survey

1. Have you ever won the lottery? Yes No

2. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

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

4. Do you have children? Yes No

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

6. Do you have a sit-down family dinner every night? Yes No

7. Do you like chocolate? Yes No

8. Do you use mouthwash? Yes No

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

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

11. Have you ever gone sky-diving or bungee-jumping? Yes No

12. Have you ever placed a personals ad? Yes No

13. Do you drink diet soda? Yes No

14. Will you be taking any road trips this week (over 50 miles)? Yes No

15. Have you ever pilfered office supplies from work? Yes No

16. 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: - Theodore Roosevelt was blind in his left eye. - Seaweed is used to thicken ice cream. - Identical twins do not have identical fingerprints. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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