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Survey about writing, health, reading, sandwiches, washington monument and casinos.

Begin Survey

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

2. Have you ever taken dance lessons? Yes No

3. Do you splash in mud puddles? Yes No

4. Do you enjoy documentary films? Yes No

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

6. Do you enjoy gambling? Yes No

7. Have you ever traveled by airplane? Yes No

8. Will you go to a concert this week? Yes No

9. Do you use a dishwasher to do your dishes? Yes No

10. Do you read the comics? Yes No

11. Do enjoy reading or writing poetry? Yes No

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

13. Will you visit a casino this week? 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: - Michale Keaton's original name is Michael Douglas. - Almonds are a member of the peach family. - The little lump of flesh just forward of the ear canal, right next to the temple, is called a tragus. - The very peak of the Washington Monument is not stone, but a 100-ounce solid aluminum pyramid, constructed as part of the monument's lightning protection system.

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