Farm Vehicle Accident Survey
The MARYLAND SOYBEAN BOARD is working to improve road safety for farm vehicles traveling roads across Maryland and Delmarva. Currently there are no official records in Maryland on accidents involving passenger and farm vehicles. We want to begin collecting this data to show transportation officials the importance of this issue.

IF SOMEONE INVOLVED WITH YOUR FARM OPERATION HAS HAD AN INCIDENT, PLEASE FILL OUT THIS BRIEF SURVEY BY JANUARY 22. Feel free to share the survey with anyone you know who may have had similar experiences.

SURVEY RESPONSES WILL REMAIN CONFIDENTIAL. All data will be presented in aggregate without any identifiers. We would like to be able to follow up with you should any further data be requested, however, you will not be contacted unless you choose to provide an email address.

Thank you for your participation.

Something like this happen near you?
For your farm operation, how many incidents have occurred with farm equipment and a passenger vehicle in the last five years? *
1-2
3-5
6-10
11-15
16+
Incidents
For the incidents occurred:
What equipment was involved? *
Required
Were people injured? *
Estimate the cost of damages *
$0-10,000
$10k-$25k
$25k-$50k
$50k-$100k
$100,000+
N/A
Medical
Farm Equipment
Passenger Vehicle
Property
Share your thoughts
Any additional comments? suggestions?
Your answer
Name & Email (optional)
Your answer
Thank you!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service