New Car Assessment Program (NCAP) Questionnaire
Thank you for taking the time to help us press for stronger measures in the federal New Car Assessment Program (NCAP). Your response will help us submit a strong reply from Families for Safe Streets with your stories to highlight the inadequacy of the changes proposed.  If you have any questions, please contact
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Email *
Name (First and Last) *
City, State (Where you Live) *
City, State of Crash *
Telephone # (so that we can reach you for follow-up as needed)
Details of Crash: Please describe what happened, the make/model of the vehicle(s) involved and anything you know about how the vehicle size, design or safety features played or failed to play a role. Please also share more about the person who was killed or injured so that we can give a face to this crisis. *
Was the vehicle that hit you an SUV or pick-up truck? *
Would testing with a female crash dummy possibly have made a difference?
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Which of the following safety features may have made a difference in the crash?
Please describe how any of the safety features above would have made a difference in your crash or explain further any other options that would have helped.
Other comments or questions
A copy of your responses will be emailed to the address you provided.
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