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Survey about employees, washington, teeth, internet access, hiv and health.

Begin Survey

1. Are you satisfied in your current employment? Yes No

2. Will you use a coupon for any of your purchases this week? Yes No

3. Will you go to a bar or night club this week? Yes No

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

5. Do you enjoy gambling? Yes No

6. Do you brush your teeth before bed each night? Yes No

7. Do you have Internet access at home? Yes No

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

9. Do you eat breakfast every morning? Yes No

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

11. Do you attend regular religious services? Yes No

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

13. Do you wear glasses/contacts? Yes No

14. Will you visit a casino this week? Yes No

15. Do you plan to visit any U.S. National Parks this year? Yes No

16. Should government employees be randomly tested for illicit drug use? Yes No

17. 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: - Michael Jordan was cut from his high school basketball team his sophomore year. - The average French citizen eats 500 snails per year. - One in 500 humans has one blue eye and one brown eye. - The Library of Congress, located in Washington D.C., is the largest library in the world.

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