Legal Aid is working to understand the impact of driver license suspensions on Ohio residents.  Thank you for taking a couple minutes to answer the following questions.  If you are willing to share more details about your experience, please provide your contact info at the end. Thank you!

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* 1. Is your your driver license currently suspended or has it ever been suspended?

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* 2. Did you have more than one suspension at the same time?

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* 3. What is/are the reason(s) your driver license is/was suspended? (Check all that apply.)

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* 4. How long has your driver license been suspended in total?

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* 5. Did you have trouble paying the amounts owed to get your license back?

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* 6. How much did you owe in total to get your license back?

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* 7. Did you have trouble meeting any of the following needs because your license was suspended? Check all that apply.

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* 8. When your license was first suspended, what was your ZIP code? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 9. When your license was first suspended, how old were you?

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* 10. When your license was first suspended, what was your annual household income?

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* 11. Which race/ethnicity best describes you? (Please choose only one.)

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* 12. Are you willing to share more specifics about your experience with a driver license suspension? IF YES, please fill out your contact information below and someone may follow up with you over the next few months.

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