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* 1. In the last 7 days, how often did you pick up your phone while driving a vehicle?

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* 2. If you picked up your phone while driving in the last 7 days, how long would you say you used it on average?

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* 3. How likely are you to change your driving behavior after taking the Buckle Up Phone Down pledge?

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* 4. OPTIONAL: Enter your email if you'd like to be entered for a chance to win a free Trailnet t-shirt and free ride voucher!

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