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Survey about mittens, janis joplin, shower, shopping, grocery stores and hiv.

Begin Survey

1. Do you believe there is life on other planets? Yes No

2. Do you keep an umbrella in your car? Yes No

3. Do you watch Saturday morning cartoons? Yes No

4. Do you have any piercings? Yes No

5. Do you have a checking account? Yes No

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

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

8. Are your parents still married? Yes No

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

10. Do you play any musical instruments? Yes No

11. Do you wear sandals/flip-flops in the summer? Yes No

12. Do you wear mittens? Yes No

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

14. Do enjoy reading or writing poetry? Yes No

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

16. Do you enjoy cooking or baking? Yes No

17. Will you go to the grocery store this week? Yes No

18. Do you sing in the shower? Yes No

19. 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. - Nutmeg is extremely poisonous if injected intravenously. - More children are allergic to cockroaches than cats - There are 10 towns/cities named Hollywood in the United States.

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