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Survey about religion, hiv, travel, concerts, homes and dvd players.

Begin Survey

1. Do you have a valid passport? Yes No

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

3. Will you go to a concert this week? Yes No

4. Do you have a DVD player? Yes No

5. Do you work outside of the home? Yes No

6. Do you plan to visit the zoo this year? Yes No

7. Do you fly an American flag at home? Yes No

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

9. Will you be staying at a hotel this week? Yes No

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

11. Do you shower at least once daily? Yes No

12. Do you sleep with a pillow at night? Yes No

13. Have you ever responded to a personals ad? 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: - Robert E. Lee, of the Confederate Army, remains the only person to have graduated from the West Point military academy without a single demerit. - A hardboiled egg will spin. An uncooked or softboiled egg will not. - A yawn usually lasts for approximately six seconds. - The Sears Tower in Chicago has its own zip code.

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