JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Driving survey
Directions: Choose the one that best suits you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
do you text and drive?
*
Yes
No
have you been in a car with a person who was texting while driving?
*
Yes
No
When driving do you use a cell phone?
*
yes
No
Do you eat while driving?
*
Yes
No
have you been in the car with a driver who is playing on the radio?
*
Yes
No
Do you wear a seat belt in the car?
*
Yes
No
Do you drive over posted limit?
*
Yes
No
Do you speed if running late?
*
Yes
No
Required
Submit
Clear form
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report