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Survey about hiv, antioxidants, christmas, haircut, sunscreen and spa.

Begin Survey

1. Do you believe in Santa Claus? Yes No

2. Do you use online banking? Yes No

3. Do you attend regular religious services? Yes No

4. Do you use chewing tobacco? Yes No

5. Do you own your home? Yes No

6. Have you ever been arrested? Yes No

7. Do you drink diet soda? Yes No

8. Have you ever borrowed money from a relative? Yes No

9. Do you splash in mud puddles? Yes No

10. Do you enjoy hunting or fishing? Yes No

11. Have you ever spent a day at a spa? Yes No

12. Do you take any prescribed daily medications? Yes No

13. Do you know your cholesterol level? Yes No

14. Will you be taking any road trips this week (over 50 miles)? Yes No

15. Do you wear sunscreen every day? Yes No

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

17. Have you ever cut your own hair? Yes No

18. Do you always drive within the posted speed limit? Yes No

19. Do you ever download movies from the Internet? Yes No

20. Will you balance your checkbook this week? Yes No

21. 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. - Blueberries have more antioxidants than any other fruit or vegetables. - During their lifetime, the average human will grow 590 miles of hair. - Space Needle in Seattle, built for the 1962 Worlds Fair, is home to the Nations first Monorail, which is still in operation.

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