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Survey about sunscreen, brown, lottery tickets, personal ads, dance lessons and birthdays.

Begin Survey

1. Have you ever taken dance lessons? Yes No

2. Do you have a retirement investment account (401k, IRA, etc.)? Yes No

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

4. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

5. Are you satisfied in your current employment? Yes No

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

7. Will you visit a doctor this week? Yes No

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

9. Do you believe in destiny or fate? Yes No

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

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

12. Do you wear sunscreen every day? Yes No

13. Do you have a VCR? 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - Chocolate does not cause acne. - One in 500 humans has one blue eye and one brown eye. - Hawaii's Mount Waialeale is the wettest place in the world - it rains throughout the year and about 460 inches per annum.

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