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Survey about public library, night clubs, drug use, newspapers, homes and birthdays.

Begin Survey

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

2. Will you engage in rigorous physical activity at least three times this week? Yes No

3. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

4. Do you believe in Santa Claus? Yes No

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

6. Will you travel outside of the U.S. this year? Yes No

7. Can you whistle? Yes No

8. Do you own your home? Yes No

9. Do you like chocolate? Yes No

10. Do you know CPR? Yes No

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

12. Do you enjoy card games? Yes No

13. Do you own your own business or work for yourself? Yes No

14. Will you go to a bar or night club this week? Yes No

15. Do you think professional athletes should be regularly screened for illicit drug use? Yes No

16. Do you take a bagged lunch to work every day? Yes No

17. Do you subscribe to your local newspaper? Yes No

18. Will you go to the grocery store this week? Yes No

19. 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: - Basketball great Wilt Chamberlain never fouled out of a game. - Peanuts are one of the ingredients in dynamite. - The United States has the highest minimum drinking age in the world. - There are 10 towns/cities named Hollywood in the United States.

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