*1.In the last 7 days, how often did you pick up your phone while driving a vehicle?(Required.)

I picked up my phone during every trip

I picked up my phone during most trips

I picked up my phone during two to three trips

I picked up my phone during one trip

I never picked up my phone while driving

*2.If you picked up your phone while driving in the last 7 days, how long would you say you used it on average?(Required.)

For more than five minutes

For two to five minutes

For one to two minutes

For less than one minute

I never picked up my phone while driving

*3.How likely are you to change your driving behavior after taking the Buckle Up Phone Down pledge?(Required.)

Very likely

Likely

Somewhat likely

Neither likely nor unlikely

Somewhat unlikely

Unlikely

Very unlikely

None of the above - I already complied with the pledge prior to signing it.

4.OPTIONAL: Enter your email if you'd like to be entered for a chance to win a free Trailnet t-shirt and free ride voucher!