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Survey about hollywoodland, multi-vitamin, hair, smoking, internet access and children.

Begin Survey

1. Do you smoke cigarettes? Yes No

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

3. Do you ever dye your hair? Yes No

4. Do you have road rage? Yes No

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

6. Do you have Internet access at home? Yes No

7. Do you listen to talk radio? Yes No

8. Do you enjoy classical music? Yes No

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

10. Are your parents still married? Yes No

11. Do you know CPR? Yes No

12. Do you have a VCR? Yes No

13. Do you give your children a daily multi-vitamin? Yes No

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

15. Do you enjoy independent films? Yes No

16. Do you ever use a tanning bed? Yes No

17. 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: - Al Capone's business card said he was a used furniture dealer. - The average American eats approximately 20 pounds of pasta each year. - One quarter of the human brain is used to control the eyes. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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