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Survey about labor unions, doctors, spa, coconuts, safety belt and cellular phones.

Begin Survey

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

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

3. Do you enjoy spicy foods? Yes No

4. Will you visit a beauty salon this week? Yes No

5. Do you always wear your safety belt when in a car? Yes No

6. Have you ever been in love? Yes No

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

8. Are you currently attending college or taking adult enrichment classes? Yes No

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

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

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

12. Will you visit a doctor this week? Yes No

13. Do you attend regular religious services? Yes No

14. Will you ride on a bus this week? Yes No

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

16. Have you ever traveled by airplane? Yes No

17. Do you belong to a labor union? Yes No

18. Have you ever participated in a focus group? Yes No

19. Have you ever borrowed money from a relative? 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: - James Garfield was the first U.S. president to use a telephone. - Approximately 3 billion pizzas are sold in the U.S. each year. - Coconuts kill more people in the world than sharks do. Approximately 150 people are killed each year by coconuts. - The world’s first gas station was opened by the Gulf Refining Company on December 1, 1913, in Pittsburgh, Pennsylvania.

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