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Survey about sleep, alfred hitchcock, blinks, peanut butter, mountain climbing and hiv.

Begin Survey

1. Do you practice yoga? Yes No

2. Are you a veteran? Yes No

3. Do you have cable or satellite television? Yes No

4. Do you ever dye your hair? Yes No

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

6. Will you visit a therapist or psychiatrist this week? Yes No

7. Do you read the comics? Yes No

8. Have you ever broken any bones? Yes No

9. Do you own a gun? Yes No

10. Do you have any camping trips planned for this summer? Yes No

11. Do you like peanut butter and jelly sandwiches? Yes No

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

13. Do you sleep with a pillow at night? Yes No

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

15. Have you ever been rock or mountain climbing? Yes No

16. Have you ever been in love? Yes No

17. Do you enjoy hot bubble baths? Yes No

18. Have you ever traveled by airplane? Yes No

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

20. Do you believe in love at first sight? 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: - Alfred Hitchcock didn't have a belly button. - 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. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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