Welcome to the High School Student Survey! This survey should be completed BEFORE you attend the EndDD.org (End Distracted Driving) distracted driving presentation.

Your responses to questions 1-9 will permit us to track your individual responses from pre to post survey while preserving your anonymity.

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* 1. What is your street number? (For example, if your address is 65 Farmington Avenue enter 65 as your street number)

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* 7. Name of School

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* 8. City

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* 11. Teacher's last name

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* 12. Today's date

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* 13. Have you watched the Distracted Driving Lesson?

Please read each question and circle the response that best describes your experience or your opinion. Remember, this is not a quiz, and you will not be graded.  Please provide your best guess when you do not know the answer.  We realize that there may be several questions to which you do not currently know the answer.

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* 14. How well do you think you understand what it means for a driver to be distracted when that driver is driving?

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* 15. Assuming that the driver is looking away from the road, when does the driver’s risk of crashing first double?

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* 16. In the SPIDER acronym introduced in the Distracted Driving Lesson what does the "S" stand for?

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* 17. What percentage of 16-18 year olds will look at texts or snapchat while driving and the car is moving?

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* 18. What percentage of teens will put their phones away while driving, if asked by a friend?

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* 19. If your driver is distracted while driving, do you know the right words to use to ask your driver to stop from distracted driving?

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* 20. Which is the best way to get the driver to stop driving while distracted?

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* 21. While in a moving car with your parent or caregiver driving, have you said something in the past few weeks to your parent or caregiver about: (please check one response for each item)

  Yes, most times Yes, sometimes Yes, once No Not applicable
Not talking on a hands-free cell phone
 Not talking on a hand-held cell phone
Not looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Not typing a text or otherwise manually using their phone

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* 22. While in a moving car with your friend driving, have you said something in the past few weeks to your parent or caregiver about: (please check one response for each item)

  Yes, most times Yes, sometimes Yes, once No Not applicable
Not talking on a hands-free cell phone
 Not talking on a hand-held cell phone
Not looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Not typing a text or otherwise manually using their phone

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* 23. When you have been in a moving car, have you asked a passenger in the past few weeks to stop doing something which was preventing the driver from paying full attention to driving?

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* 24. Please indicate the extent to which each of the following behaviors would worry you if you were in a moving care and you saw your driver: (please check one response for each item)

  Not at all worried A little worried Somewhat worried Very Worried Extremely worried
Talking on a hands-free cell phone
Talking on a hand-held cell phone
Looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Typing a text or otherwise manually using their phone

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* 25. If your parent or caregiver were engaged in one of the following activities while driving, how confident are you that you would ask the driver to stop the activity: (please check one response for each item)

  Very confident Moderately confident Slightly confident Not confident at all
Talking on a hands-free cell phone
Talking on a hand-held cell phone
Looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Typing a text or otherwise manually using their phone

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* 26. If your friend were engaged in one of the following activities while driving, how confident are you that you would ask the driver to stop the activity: (please check one response for each item)

  Very confident Moderately confident Slightly confident Not confident at all
Talking on a hands-free cell phone
Talking on a hand-held cell phone
Looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Typing a text or otherwise manually using their phone

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* 27. If you saw something (not related to driving) that could become dangerous for others nearby, how likely would you be to say or do something to help?   

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* 28. How likely is a driver engaged in one of the activities below to get into a crash compared to a driver who is paying full attention to his or her driving? (please check one response for each item)

  A lost less likely to be in a crash A little less likely to be in a crash Just as likely to be in a crash A little more likely to be in a crash A lot more likely to be in a crash
Talking on a hands-free cell phone
Talking on a hand-held cell phone
Looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Typing a text or otherwise manually using their phone

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* 29. When you are driving (either now or in the future), how likely do you think you would be to engage in the following activities? (please check one response for each item)

  Very likely Somewhat likely Not too likely Not at all likely
Talking on a hands-free cell phone
Talking on a hand-held cell phone
Looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Typing a text or otherwise manually using their phone

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* 30. When you are driving (either now or in the future), how important will it be to consider the safety impacts on others of your distracted driving? 

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* 31. How much do you believe being respectful or considerate of other drivers requires the driver not to drive while being distracted?

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* 32. How often in the past few weeks have you seen your parent or caregiver engage in each of the following activities while driving? (please check one response for each item)

  Never Rarely Sometimes Often Always
Talking on a hands-free cell phone
Talking on a hand-held cell phone
Looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Typing a text or otherwise manually using their phone

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* 33. How often in the past few weeks have you seen your friends engage in each of the following activities while driving? (please check one response for each item)

  Never Rarely Sometimes Often Always
Talking on a hands-free cell phone
Talking on a hand-held cell phone
Looking at texts, apps, or otherwise looking away from the road ahead for more than two seconds
Typing a text or otherwise manually using their phone

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* 34. In the past few weeks, have you been in a moving car where you or other passengers make it difficult for your driver to pay attention to his or her driving (for example, the driver has to tell you quiet down)?

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