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Survey about work, reading, hiv, health, classical music and college.

Begin Survey

1. Do you like chocolate? Yes No

2. Will you be taking any road trips this week (over 50 miles)? Yes No

3. Do you have or use a cellular phone? Yes No

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

5. Do you enjoy ethnic foods? Yes No

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

7. Will you visit a hardware or home improvement store this week? Yes No

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

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

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

11. Have you ever gone sky-diving or bungee-jumping? Yes No

12. Do you smoke cigarettes? Yes No

13. Do you enjoy classical music? Yes No

14. Do you enjoy reading non-fiction books for pleasure? Yes No

15. Do you enjoy documentary films? Yes No

16. Do you have health insurance? Yes No

17. Will you attend a professional sporting event this month? Yes No

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

19. Will you ride on a bus this week? 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: - Whoopi Golberg’s real name is Caryn Elaine Johnson. - The average American drinks 25 gallons of milk per year. - Right-handed people live, on average, nine years longer than left-handed people. - Buckingham Palace has over six hundred rooms.

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