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* 1. Age

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* 2. Gender

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* 3. Do you have a driver’s license? (select all that apply)

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* 4. Have you ever used your phone while driving?

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* 5. Did you know that the fine for using your phone when driving is $593 and 4
demerit points?

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* 6. Are you aware of the road rules for mobile phone/device use that apply to your licence type?

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* 7. Did you know that when you drive on less than 5 hours of sleep, you are 4 times more likely to crash?

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* 8. If you were driving by yourself and started to feel drowsy, which of the following strategies would you most likely use to overcome your drowsiness?

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* 9. If you were looking to buy a new or second hand car, would you consider checking the safety rating prior to your purchase?

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* 10. How dangerous do you consider driving 5-10km/h faster than the speed limit is for yourself and others on the road?

1-10 (1 = Very dangerous", 10 = "Not dangerous")

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* 11. What influences make you more likely to drive faster than the speed limit? (select as many that apply)

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* 12. Do you believe that driving under the influence of alcohol or drugs significantly increases the likelihood of causing a fatal accident?

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* 13. If you saw a friend about to drive under the influence of alcohol or drugs, would you intervene to stop them, even if it meant causing a confrontation?

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* 14. How often do you wear a helmet when cycling or riding an e-scooter?

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* 15. What measures do you take to ensure your safety while cycling or e-scooter riding? (Select all that apply)

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* 16. Do you think it is important to wear a seatbelt correctly as a driver and/or passenger to prevent injury in the event of a crash?

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* 17. How often do you correctly wear a seatbelt as a driver and/or passenger?

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* 18. What do you think are the biggest issues for young drivers on the road? (Select as many as apply)

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* 19. What’s the best way to get a road safety message across to you?

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* 20. To enter into the competition to WIN one of x3 $1,000 cash prizes, please
enter your contact information.