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Survey about mississippi river, summer, hiv, slippers, overall health and birthdays.

Begin Survey

1. Are you involved in volunteerism? Yes No

2. Will you ride on a bus this week? Yes No

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

4. Do you wear a watch every day? Yes No

5. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

6. Would you consider yourself to be in good overall health? Yes No

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

8. Do your children attend public schools? Yes No

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

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

11. Have you ever broken any bones? Yes No

12. Do you enjoy television police/crime dramas? Yes No

13. Will you visit a casino this week? Yes No

14. Do you own a pair of fuzzy bunny slippers? Yes No

15. Do you think you are physically attractive? Yes No

16. Do you plan on visiting the public library this week? Yes No

17. Do you ever dye your hair? Yes No

18. Do you have any camping trips planned for this summer? Yes No

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

20. 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: - Deborah Winger did the voice of E.T. - The U.S. Government spent $277,000 on pickle research in 1993. - A blink lasts approximately 0.3 seconds. - The tallest building west of the Mississippi River is the Stratosphere Hotel and Casino in Las Vegas, Nevada.

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