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* 1. What is today's date?

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* 2. What was the name of the program you attended or where did you get this survey?

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* 3. Select location where you reside.

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* 4. What is your home Zip Code number?

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* 5. Are you Hispanic or Latino?

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* 6. Select one or more of the following:

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* 7. What is your gender?

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* 8. What is your age? Indicate in number of years.

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* 9. What is the primary vehicle you drive?

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* 10. Driving experience? Indicate number of years throughout your lifespan you've had a driver's license. If you have never driven, enter "0".

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* 11. Approximately how many people in Maryland do you think are injured in car crashes each year?

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* 12. In the past 30 days, have you read, seen, or heard anything about alcohol impaired driving (or drunk driving) enforcement by police?

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* 13. In the past 30 days, how many times have you driven a motor vehicle within 2 hours after drinking alcoholic beverages?

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* 14. What do you think the chances are of someone getting arrested if they drive after drinking?

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* 15. In the past 30 days, have you read, seen, or heard anything about seat belt enforcement by police?

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* 16. How often do you use seat belts when you drive or ride in a car, van, sport utility vehicle or pick-up?

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* 17. What do you think the chances are of getting a ticket if you don’t wear your seat belt?

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* 18. What is your level of support for making seat belt use mandatory in all vehicle seating positions (front seat and back seat)?

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* 19. In the past 30 days, have you read, seen, or heard anything about
speed enforcement by police?

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* 20. What do you think the chances are of getting a ticket if you drive over the speed limit?

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* 21. How many miles per hour (mph) over the posted speed limit do you feel you can go before police would give you a ticket for speeding?

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* 22. On a local road with a speed limit of 30 mph, how often do you drive faster than 35 mph?

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* 23. How likely is it that something bad would happen to you if you drove without a seat belt?

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* 24. I often act on the spur of the moment.

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* 25. I like to drive more than 10 mph over the speed limit.

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* 26. On a road with a speed limit of 65 mph, how often do you drive faster than 70 mph?

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* 27. When you think of traffic safety, which agency comes to mind?

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