Driving Survey

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Driving Survey

Directions: Read the following and select the answer that best fits you.

Do you text and drive? *

Yes

Have you been in a car with a driver who texts while driving? *

Yes

When driving, do you use a cell phone? *

Yes

Yes, but I use a handsfree device.

Do you eat while driving? *

Yes

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

Yes

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

Yes

Do you wear a seatbelt when riding in a car? *

Always

Most often

Sometimes

Never

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

Always

Drive 5 over

Drive 10 over

Drive more than 10 over

Do you speed if running late? *

Yes

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

Yes

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

Yes

Submit

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