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Survey about hiv, family, sports, taste buds, eiffel tower and contact lenses.

Begin Survey

1. Will you attend a professional sporting event this month? Yes No

2. Do you have a valid passport? Yes No

3. Do you enjoy card games? Yes No

4. Do you enjoy ethnic foods? Yes No

5. Do you wear mittens? Yes No

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

7. Do you have or use a cellular phone? Yes No

8. Have you ever gotten a traffic ticket? Yes No

9. Do you enjoy classical music? Yes No

10. Do you believe in destiny or fate? Yes No

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

12. Will you rent a DVD or video this weekend? Yes No

13. Do you enjoy television police/crime dramas? Yes No

14. Do you watch the evening news? Yes No

15. Will you be visiting any theme parks this year? Yes No

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

17. Do you own a first aid kit? Yes No

18. Would you consider yourself an avid sports fan? Yes No

19. Do you wear glasses/contacts? Yes No

20. 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. - Gatorade was named for the University of Florida (Gators where it was first developed. - By the age of 60, most people have lost 50% of their taste buds. - Because heat expands the metal, the Eiffel Tower always leans away from the sun.

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