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Survey about doctor, cleaning, cooking, religious services, hiv and water.

Begin Survey

1. Have you ever been in a car accident? Yes No

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

3. Do you enjoy Girl Scout cookies? Yes No

4. Will you attend religious services this week? Yes No

5. Do you run the vacuum (or sweep) your floors every day? Yes No

6. Will you plant a vegetable and/or flower garden this year? Yes No

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

8. Do you enjoy cooking or baking? Yes No

9. Do you suffer from seasonal allergies? Yes No

10. Do you drink enough water (6 8-ounce glasses) every day? Yes No

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

12. Do you use online banking? Yes No

13. 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: - Betsy Ross was born with a fully formed set of teeth. - Strawberries are a member of the rose family. - Children laugh about 400 times a day, while adults laugh on average only 15 times a day. - The are six fictional characters that have stars on Hollywood's 'Walk of Fame'.

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