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Survey about internet access, chicago, cpr, health, janis joplin and bible.

Begin Survey

1. Do you have road rage? Yes No

2. Do you have any pets? Yes No

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

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

5. Do you have a swimming pool? Yes No

6. Will you travel outside of the U.S. this year? Yes No

7. Have you ever spent more than $100 on a pair of shoes? Yes No

8. Do you believe in love at first sight? Yes No

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

10. Do you own a Bible, Koran, or other religious book? Yes No

11. Will you attend a professional sporting event this month? Yes No

12. Do you know CPR? Yes No

13. 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: - Jimi Hendrix, Janis Joplin, and Jim Morrison were all 27 years old when they died. - The average American eats approximately 20 pounds of pasta each year. - Neanderthal man had a brain capacity 100cc larger than modern man. - The Sears Tower in Chicago has its own zip code.

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