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1. How often do you use your cell phone while driving?
 
A. Sometimes, when in an emergency
 
B. Always
 
C. Never
 
D. I don't own a cell phone
 
 
 
2. Do you feel that you put others at risk while on your cell phone?
 
A. No
 
B. Absolutely
 
C. Maybe
 
D. Never thought about it
 
 
 
3. How important is it to be on the phone while behind the wheel?
 
A. Not important
 
B. Very Important
 
C. I dont know
 
D. Somewhat Important
 
 
 
4. How often do you text while driving?
 
A. Never
 
B. All the time
 
C. When needed
 
D. When at a stop light
 
 
 
5. Do you feel safe when you see other people using their cell phone while driving?
 
A. Yes
 
B. Not at all
 
C. Sometimes
 
D. i dont know
 
 
 
6. How often do you wear a seat belt while driving?
 
A. Always
 
B. Sometimes
 
C. Only when I travel long distances
 
D. Never
 
 
 
7. How fast do you go above the speed limit?
 
A. 2-3 over the limit
 
B. Stay at the speed the sign says
 
C. 5-10 over the limit
 
D. 6-7 over the limit
 
 
 
8. Do you feel safer traveling next to a drunk d+river or someone talking on their cell phone?
 
A. Both
 
B. Neither
 
C. Drunk Driver
 
D. Cell phone user
 
 
 
9.Have you ever been in a car accident?
 
A. Came close
 
B. Never
 
C. Yes
 
D. No, but someone close to you has
 
 
 
10. Lastly, do you think cell phone usage should be banned around the world?
 
A. Yes
 
B. No
 
C. I dont know
 
D. It doesnt matter
 
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