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Survey about trips, allergy, download, hawaii, et and family.

Begin Survey

1. Do you always wear your safety belt when in a car? Yes No

2. Do you drink diet soda? Yes No

3. Do you have an annual check-up or exam with your family doctor? Yes No

4. Do you enjoy playing video games? Yes No

5. Do you have a swimming pool? Yes No

6. Do you know CPR? Yes No

7. Will you consume any alcoholic beverages this weekend? Yes No

8. Do you play any organized team sports? Yes No

9. Do you enjoy hot bubble baths? Yes No

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

11. Will you travel outside of the U.S. this year? Yes No

12. Do you have any food allergies? Yes No

13. Do you plan on taking a trip by airplane this week? Yes No

14. Do you ever download music from the Internet? Yes No

15. Will you visit a beauty salon this week? Yes No

16. 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. - Back in 1953, it took 27 hours to make one Marshmallow Peep. Now it takes only six minutes. - 15% of Americans secretly bite their toes. - 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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