* 1. What is your age?

* 2. What is your gender?

* 3. What is your ethnicity origin (or race)?

* 4. What is your five-digit zip code?

* 5. Do you have a California Driver's License?

* 6. Do you own a smartphone?

* 7. Do you own/lease a: (please check off all that apply)

* 8. How many licensed drivers are in your household?

* 9. Do you have a primary care physician?

* 10. Does a family member/friend drive you to your doctor's appointments?

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