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Survey about night, houseplants, children, airplanes, cookies and mud puddles.

Begin Survey

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

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

3. Have you made your will? Yes No

4. Have you ever spent a day at a spa? Yes No

5. Have you ever had a professional massage? Yes No

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

7. Will you go to a concert this week? Yes No

8. Do you splash in mud puddles? Yes No

9. Do you enjoy ethnic foods? Yes No

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

11. Do you enjoy Girl Scout cookies? Yes No

12. Do you know how to fly an airplane? Yes No

13. Do you have any houseplants? Yes No

14. Do you brush your teeth after lunch? Yes No

15. Do you always wear your safety belt when in a car? Yes No

16. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

18. Do you watch Saturday morning cartoons? Yes No

19. Do you have a valid passport? 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: - Henry Ford, father of the assembly line, also invented the charcoal briquette. - The average child will eat 1,500 peanut butter and jelly sandwiches by the he/she graduates from high school. - A blink lasts approximately 0.3 seconds. - The State of Louisiana was named after the French King Louis XIV.

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