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Survey about night clubs, christmas, haircut, hiv, bars and restaurants.

Begin Survey

1. Do you brush your teeth before bed each night? Yes No

2. Will you order take-out or delivery food from a restaurant this week? Yes No

3. Have you eaten fast food this week? Yes No

4. Have you ever cut your own hair? Yes No

5. Will you be staying at a hotel this week? Yes No

6. Are you married? Yes No

7. Have you graduated from (or finished) college? Yes No

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

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

10. Will you take any train or subway rides this week? Yes No

11. Do you plan to visit the zoo this year? Yes No

12. Have you ever been in love? Yes No

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

14. Do you follow a low-carb diet? Yes No

15. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

16. Did you graduate from high school? Yes No

17. Will you go to a bar or night club this week? Yes No

18. Have you ever placed a personals ad? Yes No

19. Do you believe in Santa Claus? Yes No

20. Do you take a bagged lunch to work every day? 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: - Basketball great Wilt Chamberlain never fouled out of a game. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - The average American consumes 9 pounds of food additives every year. - The world's largest art gallery is the Winter Palace and Hermitage in St. Petersburg, Russia.

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