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Survey about health, hiv, hotels, beans, spicy food and gamecube.

Begin Survey

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

2. Do you smoke cigarettes? Yes No

3. Do you enjoy independent films? Yes No

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

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

6. Will you go to a concert this week? Yes No

7. Are you left-handed? Yes No

8. Will you plant a vegetable and/or flower garden this year? Yes No

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

10. Will you be staying at a hotel this week? Yes No

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

12. Do you enjoy spicy foods? Yes No

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

14. Do you believe in destiny or fate? Yes No

15. Do you own a boat, camper, or other recreational vehicle? Yes No

16. Do you have any tattoos? Yes No

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

18. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Lima beans contain cyanide. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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