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Survey about hiv, leonardo da vinci, low-carb diet, driving, religious services and religion.

Begin Survey

1. Do you own a Bible, Koran, or other religious book? Yes No

2. Do your children attend public schools? Yes No

3. Can you drive a stick shift? Yes No

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

5. Do you own or use a digital camera? Yes No

6. Are your immunizations up-to-date? Yes No

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

8. Do you have any piercings? Yes No

9. Do you get a flu shot every winter? Yes No

10. Do you enjoy hot bubble baths? Yes No

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

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

13. Have you made your will? Yes No

14. 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: - Leonardo da Vinci could write with one hand and draw with the other at the same time. - Dandelion root can be roasted and ground as a coffee substitute. - One quarter of the human brain is used to control the eyes. - The tallest freestanding sculpture in the world is Chief Crazy Horse in South Dakota, USA.

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