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  2. 2005
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Hello:

You are invited to participate in our survey on mandatory seatbelt laws. You will be asked to complete a survey that asks questions about your personal seatbelt use and your knowledge of seatbelt laws. It will take approximately 3 minutes to complete the questionnaire.


Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point.


Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
* What state do you live in?
   
 
 

* What is your age group?
 
16-24
 
25-35
 
36-45
 
45+
 
 

* What is the main type of vehicle you drive?
 
Compact Car (Ford Fiesta, Chevy Cavalier)
 
Sedan ( Ford Taurus, Toyota Camary)
 
SUV (Ford Explorer, Chevy Trailblazer)
 
Truck
 
 

* Is your vehicle equipped with front AND side airbags?
 
Yes
 
No, Front Airbags Only
 
No, Niether Front nor Side Airbags
 
 

* How often do you wear your seatbelt?
 
Almost always (90% or more)
 
Most of the time (60%-89%)
 
Sometimes ( 30%-59%)
 
Almost never (less than 30%)
 
 

* Do you require front seat passengers to wear seatbelts when you are driving?
 
Yes
 
No
 
 

* Do you require your back seat passengers to wear seatbelts when you are driving?
 
Yes
 
No
 
 

* Does your state have a mandatory seatbelt law?
 
Yes
 
No
 
I don't know
 
 

* Does your State's seatbelt law make driving without a seatbelt a primary or secondary offense?
 
Primary
 
Secondary
 
I don't know
 
 

* Have you ever been pulled over solely for not wearing a seatbelt?
 
Yes
 
No
 
 

* Have you ever received a ticket for not wearing a seatbelt?
 
Yes
 
No
 
No, but I received a warning
 
 
 
Additional Comments/Suggestions for improvement
   
 
Please contact [email protected] if you have any questions regarding this survey.
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