Distracted Driver Research Study - Eligibility Form
Thank you for your interest in participating in the study. On successful completion, we will be giving you two ALD points. Before we move on, we would like to ask a few questions to see if you are eligible for the study.

We will reach back to you once you have completed the form (takes 2+ week to hear back from us if qualified).
Sign in to Google to save your progress. Learn more
What's your email address? *
Do you have access to a car for one hour (regardless of location)? *
Do you have access to two phones for one hour (regardless of brand)? *
Are you over 18 years old? *
How many years of driving experience do you have? *
Can we meet once at the UMD campus (for us to deliver a phone holder, which is a research study material and will be yours to keep afterwards)? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy