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To start, please name your profession or what work you do (i.e. Student, doctor, lawyer, sales rep, manager, etc.)
   
 
 
 
What is your age group?
 
16 to 25
 
26 to 34
 
35 to 42
 
43 to 55
 
55 or older
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your cultural background?
 
White or European
 
African American
 
Hispanic or Latino
 
Asian or Middle-Eastern
 
American Indian
 
Other
 
 
 
Would you consider yourself religious?
 
Yes
 
No
 
 
 
Do you have means of transportation where you are the driver?
 
Yes
 
No
 
 
 
What kind of transportation do you have?
 
Car
 
S.U.V.
 
Minivan
 
Truck
 
Sports car
 
Motorcycle
 
Other
 
 
 
What brand of vehicle do you drive?
 
Honda, Hyundai, or Volvo
 
VW, Chrysler, or Toyota
 
Dodge, Chevrolet or Ford
 
Other
 
 
 
How often do you drive on CITY roads?
 
0 to 1 times per day
 
2 to 3 times per day
 
4 to 5 times per day
 
6 or more times per day
 
 
 
How often do you drive on FREEWAYS or HIGHWAYS?
 
0 to 1 times per day
 
2 to 3 times per day
 
4 to 5 times per day
 
6 or more times per day
 
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