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Survey about chocolate, high school, white house, graduation, hiv and mickey mouse.

Begin Survey

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

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

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

4. Do you drink milk? Yes No

5. Have you eaten fast food this week? Yes No

6. Do you subscribe to your local newspaper? Yes No

7. Do you wear glasses/contacts? Yes No

8. Did you graduate from high school? Yes No

9. Do you like chocolate? Yes No

10. Are your parents still married? Yes No

11. Do you enjoy cat-naps? Yes No

12. Have you ever gotten a traffic ticket? Yes No

13. Do you own a Bible, Koran, or other religious book? Yes No

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

15. 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: - Mickey Mouse was the first non-human to win an Academy Award (Oscar). - People in the United Kingdom consume more cans of baked beans than the rest of the world combined. - Right-handed people live, on average, nine years longer than left-handed people. - It takes 570 gallons of white paint to cover the outside of the White House.

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