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Survey about slippers, coffee, lyndon b johnson, veterans, dvds and hiv.

Begin Survey

1. Have you ever responded to a personals ad? Yes No

2. Do you sing in the shower? Yes No

3. Do you own a gun? Yes No

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

5. Are you a veteran? Yes No

6. Do you own a pair of fuzzy bunny slippers? Yes No

7. Do you wear glasses/contacts? Yes No

8. Do you believe in miracles? Yes No

9. Do you smoke cigarettes? Yes No

10. Do you eat breakfast every morning? Yes No

11. Did you drink coffee this morning? Yes No

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

13. Have you ever won the lottery? Yes No

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

15. Have you ever spent more than $100 on a pair of shoes? Yes No

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

17. Have you ever been less than honest on your income tax return? Yes No

18. Do you like peanut butter and jelly sandwiches? 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: - Lyndon B. Johnson was the first president of the United States to wear contact lenses. - It takes approximately 850 peanuts to make an 18 oz jar of peanut butter. - Identical twins do not have identical fingerprints. - The State of Nevada's name comes from the Spanish meaning 'snow-capped'.

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