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Survey Templates Surveys Driving

Driving

Driving


Howdy!

Thanks for participating in our survey. We are researching car improvements for accident prevention. In participating in this survey, you will be entered into a drawing for a $500 prize! Please answer the questions as best you can, we tried to make them really straightforward. The whole survey should take about 5-10 minutes. Thanks again!
Have you ever been in a car accident?
How many accidents have you been in?

Rear-End
Broadside
Sideswipe
Head-On
Pedestrian Collision
What types of accidents have you been in?
Are there any special details to any accident? (Optional)
What was the total amount of damages in the accidents? (Estimate is fine)
Was anyone injured?
Did your insurance go up?
How much did your insurance go up? (Estimate is fine)
Does your vehicle have any on-board Situational Aides (i.e. Smart Cruise Control, Lane Drift Detector, etc) ?
Your accident could have been avoided if you were paying better attention or your reaction time had been faster.
What is your name?
Email address?
Telephone number?

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