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Survey about mountain climbing, internet access, cookies, research, road rage and hiv.

Begin Survey

1. Do you have a VCR? Yes No

2. Do you have Internet access at home? Yes No

3. Do you have road rage? Yes No

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

5. Do you wear mittens? Yes No

6. Should the ban on new lines of stem cells for research in the U.S. be lifted? Yes No

7. Do you plan on visiting the public library this week? Yes No

8. Do you enjoy Girl Scout cookies? Yes No

9. Do you enjoy playing video games? Yes No

10. Are your parents still married? Yes No

11. Have you ever been rock or mountain climbing? Yes No

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

13. Do you use chewing tobacco? Yes No

14. Do you think you are physically attractive? Yes No

15. Did you vote in the last Presidential election? Yes No

16. 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: - Of the six men who made up the Three Stooges, three of them were real brothers (Moe, Curly and Shemp.) - The average French citizen eats 500 snails per year. - The tongue is the strongest muscle in the human body. - Sculptor Gutzon Borglum began drilling into the 6,200-foot Mount Rushmore in 1927. The sculpting of Mount Rushmore took 14 years and cost a $1 million.

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