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Survey about piercings, bars, health, dvds, college and reality television.

Begin Survey

1. Do you enjoy reality television? Yes No

2. Do you have any piercings? Yes No

3. Will you rent a DVD or video this weekend? Yes No

4. Are you currently attending college or taking adult enrichment classes? Yes No

5. Have you ever eaten rattlesnake meat? Yes No

6. Do you think you are intelligent? Yes No

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

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

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

10. Do you have children? Yes No

11. Will you balance your checkbook this week? Yes No

12. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

13. Will you attend a college sporting event this month? Yes No

14. Do you use charge cards? Yes No

15. Do you have any houseplants? Yes No

16. Have you ever borrowed money from a relative? Yes No

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

18. Do you ever use a tanning bed? 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: - Deborah Winger did the voice of E.T. - Non-dairy creamer is flammable. - 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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