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Survey about shopping, seasonal allergies, phobia, marriage, hiv and college.

Begin Survey

1. Do you enjoy hunting or fishing? Yes No

2. Do you enjoy television police/crime dramas? Yes No

3. Do you have any houseplants? Yes No

4. Do you own your own business or work for yourself? Yes No

5. Will you go to the grocery store this week? Yes No

6. Do you know CPR? Yes No

7. Will you buy a lottery ticket this week? Yes No

8. Do you enjoy ethnic foods? Yes No

9. Do you own or drive an SUV or large truck? Yes No

10. Do you splash in mud puddles? Yes No

11. Have you ever traced your family tree? Yes No

12. Will you visit a hardware or home improvement store this week? Yes No

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

14. Do you brush your teeth each morning? Yes No

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

16. Do you suffer from seasonal allergies? Yes No

17. Are you married? Yes No

18. 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: - Blueberry Jelly Bellies were created especially for Ronald Reagan. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - More people have a phobia of frogs than rats. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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