Exit Parents of Teen Drivers Question Title * 1. Please Enter your Zip Code ZIP/Postal Code Question Title * 2. Have you ever supervised a teen driver on a learner's permit? Yes No If yes, what is your relationship to that individual(s)? Question Title * 3. If your student completed a Drivers Education program, did you feel it did a good job preparing them? Yes No Why? Question Title * 4. During their supervised driving, did you expose your teen to riskier environments such as night driving, heavy traffic, inclement weather, etc...? Yes No Question Title * 5. Did your student complete the state-mandated permit hours? Yes No Question Title * 6. Do you feel it's important that parents follow state GDL restrictions when their new driver is on a provisional license? Yes No Why? Question Title * 7. Please rate the following safety issues in terms of importance. Use 1 for the item that YOU feel is most important to keep your teen safe when they are driving and 4 for the least important. Question Title * 8. Have you personally known someone who has been killed in a vehicle crash? Yes No If yes, what is your relationship to that individual(s)? Question Title * 9. How many traffic tickets (moving violation) have you received? 0 1-2 3 or more Question Title * 10. As a driver, how many crashes have you been involved in? 0 1-2 3 or more Question Title * 11. How long after obtaining your license did each crash occur? N/A if 0 Crash #1? Crash #2? Crash #3? Question Title * 12. Please describe what you learned from each crash and/or how you could have prevented it? Question Title * 13. Do you text while driving? Yes No Question Title * 14. What frequency do you insist on passengers in your car wearing their seat belt? Never Sometimes Always Why? Question Title * 15. Are you interested in participating in additional Surveys or interviews for our research? Yes No Question Title * 16. If Yes, please provide your name and select which method of communication you prefer: First Name Email Address Phone Number Done
