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Survey about music, health, checking account, night, dictionary and rattlesnake.

Begin Survey

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

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

3. Will you visit a beauty salon this week? Yes No

4. Do you own a dictionary and/or thesaurus? Yes No

5. Do you enjoy documentary films? Yes No

6. Should government employees be randomly tested for illicit drug use? Yes No

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

8. Do you sleep with a pillow at night? Yes No

9. Do you use chewing tobacco? Yes No

10. Have you ever eaten rattlesnake meat? Yes No

11. Will you engage in rigorous physical activity at least three times this week? Yes No

12. Do you drink diet soda? Yes No

13. Do you have a checking account? Yes No

14. Do you listen to the radio in the car? Yes No

15. Do you have a savings account? Yes No

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

17. Have you ever traveled by airplane? Yes No

18. Do you ever download music from the Internet? Yes No

19. Do you have any camping trips planned for this summer? 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: - Napoleon constructed his battle plans in a sandbox. - Apples are a member of the rose family. - Every year about 98% of atoms in the human body are replaced. - The first lighthouse recorded in history and the tallest ever built, at 450 feet, is the Pharos of Alexandria in Egypt.

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