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Share Your Story
1.
Answer the following questions whether you were the driver who hit someone, or you were hit.
Did your crash happen in Idaho?
Yes
No
2.
What mode of transportation were you using?
Walking
Bicycle
Wheelchair
Scooter
Skateboard
Car
Other (please specify)
3.
Was a police report filed?
Yes
No
4.
Was anyone cited for the crash?
Yes
No
I don't know
5.
Was anyone hurt?
Yes
No
Injuries:
6.
Did this crash change you?
Yes
No
If yes, please specify:
7.
Tell us the story of your crash...
8.
Are there photos from your crash?
Yes
No
I don't know
9.
May we contact you about your story to possibly share it with decision makers?
Yes
No
If yes, please specify the best way to contact you: