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Survey about parents, dance lessons, coffee, feet, health and hospital.

Begin Survey

1. Do you belong to a labor union? Yes No

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

3. Do you plan on visiting a mall this week? Yes No

4. Are your parents still married? Yes No

5. Do you believe in love at first sight? Yes No

6. Do you enjoy ethnic foods? Yes No

7. Can you roller-skate, roller-blade, and/or ice-skate? Yes No

8. Do you plan on visiting a comedy club this month? Yes No

9. Will you be taking any road trips this week (over 50 miles)? Yes No

10. Do you have an annual check-up or exam with your family doctor? Yes No

11. Do you have any piercings? Yes No

12. Have you ever taken dance lessons? Yes No

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

14. 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: - Jimmy Carter is the first U.S. President to have been born in a hospital. - The world's rarest coffee, called Kopi Luwak, costs $300 a pound. - 25% of your bones are located in your feet. - Built in 1763, Touro Synagogue in Newport, Rhode Island, is the oldest surviving synagogue in North America.

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