Please answer the following questions.  The survey results will be used in a community assessment to determine the level of driving after drinking alcoholic beverages.

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1. In the past 30 days, have you read, seen, or heard anything about alcohol impaired driving (or drunk driving) enforcement by police?

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2. What do you think the chances are of someone getting arrested if they drive after drinking?
(1 is not likely & 5 is most likely)

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3. In the past 30 days, how many times have you driven a motor vehicle within 2 hours after drinking alcoholic beverages?

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4. Have you ever been charged with a DUI (Driving under the Influence)?

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5. If you answered yes to question # 4, where did you consume your alcoholic beverages?

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6. What is your gender?

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7. What is your race?

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8. How old are you?

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9. What is your zipcode?

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10. What is the number of alcoholic drinks you have had in the last two weeks?

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11. In the past 30 days, have you ridden in a car with someone who had been drinking alcohol?

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12. If you answered yes to question # 11, what was the age range of the person you were riding with?

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