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Survey about horoscopes, intelligent, multi-vitamin, coffeine, labor unions and work.

Begin Survey

1. Do you use mouthwash? Yes No

2. Do you read your horoscope every day? Yes No

3. Are your immunizations up-to-date? Yes No

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

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

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

7. Do you plan on taking a trip by airplane this week? Yes No

8. Did you graduate from high school? Yes No

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

10. Do you think you are intelligent? Yes No

11. Have you ever been arrested? Yes No

12. Will you attend religious services this week? Yes No

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

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

15. Can you drive a stick shift? Yes No

16. Do you follow a vegetarian diet? Yes No

17. Do you contribute money to any charitable organizations? Yes No

18. Do you enjoy ethnic foods? Yes No

19. Do you own your own business or work for yourself? Yes No

20. Do you belong to a labor union? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - A cup of coffee has 12 times the amount of caffeine as a cup of cocoa. - During their lifetime, the average human will grow 590 miles of hair. - In Washington D.C., no building may be built taller than the Washington Monument.

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