Driving Survey

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Driving Survey

Choose the answer that best fits you.

Do you text and drive? *

Yes

Have you been in a car with a driver who has texted and driven? *

Yes

When driving do you use a cell phone? *

Yes

Yes, but I use an hands free device

Do you eat when driving? *

Yes

Do you play with the radio and /or an ipod while driving? *

Yes

Have you been in a car with a driver who plays with the radio and/or an ipod while driving? *

Yes

Do you wear a seat belt in the car?

Always

Most often

Sometimes

Never

Clear selection

Do you follow posted speed limit or drive over posted limit? *

Always

Drive 5 over

Drive 10 over

Drive more than 10 over

Do you speed if running late? *

Yes

Do you feel alert and obey traffic laws when driving? *

Yes

Do you or have you been with someone under the influence within the last 6 months? *

Yes

Submit

Clear form

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