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Survey about restaurants, broken bones, health, coffee substitute, hiv and trains.

Begin Survey

1. Have you ever been less than honest on your resume? Yes No

2. Will you take any train or subway rides this week? Yes No

3. Do you use chewing tobacco? Yes No

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

5. Do you enjoy ethnic foods? Yes No

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

7. Can you drive a stick shift? Yes No

8. Have you graduated from (or finished) college? Yes No

9. Do you know how to fly an airplane? Yes No

10. Have you ever broken any bones? Yes No

11. Do you own a motorcycle? Yes No

12. Have you ever had a professional massage? Yes No

13. Will you order take-out or delivery food from a restaurant this week? 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: - Jackie Kennedy Onassis was secretly a chain smoker. - Dandelion root can be roasted and ground as a coffee substitute. - Only 1 person in 2 billion will live to be 116. - The Great Wall stretches for about 4,500 miles across North China.

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