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Survey about dance lessons, theater, hiv, clothes, roller coasters and physical activity.

Begin Survey

1. Do you shower at least once daily? Yes No

2. Do you know your cholesterol level? Yes No

3. Have you ever been arrested? Yes No

4. Do you use charge cards? Yes No

5. Will you take any train or subway rides this week? Yes No

6. Do you use online banking? Yes No

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

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

9. Do you ever dye your hair? Yes No

10. Have you ever placed a personals ad? Yes No

11. Have you ever taken dance lessons? Yes No

12. Will you engage in rigorous physical activity at least three times this week? Yes No

13. Will you see a play this month? Yes No

14. Do you read your horoscope every day? Yes No

15. Can you whistle? Yes No

16. Do you believe in karma? Yes No

17. Do you own at least one pair of blue jeans? Yes No

18. Do you enjoy roller coasters? 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: - Mr. Rogers was an ordained minister. - Gatorade was named for the University of Florida (Gators where it was first developed. - The aorta, the largest artery in the body, is almost the diameter of a garden hose. - The Boston University Bridge (on Commonwealth Avenue, Boston, Massachusetts) is the only place in the world where a boat can sail under a train driving under a car driving under an airplane.

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