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Survey about hawaii, comedy clubs, chocolate, babies, work and television.

Begin Survey

1. Do you like chocolate? Yes No

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

3. Will you order take-out or delivery food from a restaurant this week? Yes No

4. Are you a veteran? Yes No

5. Do you ever download music from the Internet? Yes No

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

7. Do you enjoy watching cooking shows? Yes No

8. Do you take any prescribed daily medications? Yes No

9. Do you plan on visiting a comedy club this month? Yes No

10. Do you get a flu shot every winter? Yes No

11. Do you get between 7 to 10 hours of sleep each night? Yes No

12. Do your children attend public schools? Yes No

13. Will you go see a new-release movie at a theater this week? Yes No

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

15. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

16. Will you buy an espresso drink (cappuccino, latte etc.) from a coffee house this week? Yes No

17. Do you attend regular religious services? Yes No

18. Are you a registered voter? Yes No

19. Do you take a bagged lunch to work every day? Yes No

20. Have you graduated from (or finished) college? 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: - Walt Disney, the creator of Mickey Mouse, was afraid of mice. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - Babies are born without knee caps. - 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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