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Survey about siblings, virginia, cleaning, hiv, al capone and floors.

Begin Survey

1. Will you consume any alcoholic beverages this weekend? Yes No

2. Do you have any siblings? Yes No

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

4. Do you follow a vegetarian diet? Yes No

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

6. Do you use online banking? Yes No

7. Do you enjoy hunting or fishing? Yes No

8. Do you have or use an MP3 player? Yes No

9. Do you have road rage? Yes No

10. Have you ever broken any bones? Yes No

11. Do you have or use a PDA (Personal Digital Assistant)? Yes No

12. Do you have a valid passport? Yes No

13. Do you use chewing tobacco? Yes No

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

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

16. Do you enjoy roller coasters? Yes No

17. Do you own a pair of fuzzy bunny slippers? Yes No

18. Do you run the vacuum (or sweep) your floors every day? Yes No

19. Do you watch the evening news? 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: - Al Capone's business card said he was a used furniture dealer. - The fortune cookie was invented in 1916 by George Jung, a Los Angeles noodlemaker. - By the age of 60, most people have lost 50% of their taste buds. - The Pentagon has twice as many bathrooms as is necessary. When it was built in the 1940s, the state of Virginia still had segregation laws requiring separate toilet facilities for blacks and whites.

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