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Survey about hair, four corners, console, low-carb diet, allergy and hiv.

Begin Survey

1. Do you have any food allergies? Yes No

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

3. Do you keep an umbrella in your car? Yes No

4. Do you follow a low-carb diet? Yes No

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

6. Do you have any pets? Yes No

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

8. Do you own a console video game system (Xbox, Playstation 2, GameCube, etc.)? Yes No

9. Do you ever dye your hair? Yes No

10. Will you be staying at a hotel this week? Yes No

11. Do you wear mittens? Yes No

12. Do you have or use an MP3 player? 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: - Virgina Woolf wrote all her books while standing. - Almonds are a member of the peach family. - During their lifetime, the average human will grow 590 miles of hair. - The only place in the US where four states intersect at a single point is called Four Corners. The four states are Utah, New Mexico, Colorado, and Arizona.

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