* 1. What is your age?

* 2. What is your gender?

* 3. Which of the following best describes where you're from?

* 4. Do you have a learner's permit?

* 5. Do you have a driver's license?

* 6. At what age did you get your driver's license?
If you do not have a driver's license, put zero.

* 7. How often do you drive (days in a week) in your city / town?

* 8. Do you or one of your family members own a car?

* 9. Do you agree with the following statement: "Driving is my main form of transportation"?

* 10. What other modes of transportation are available in your city / town?