Survey - Drunk Driving

Drunk Driving

1. What is your age? (Required)

2. What is your gender? (Required)
Male Female
3. Are you a regular drinker (i.e. at least once every one to two weeks)? (Required)
Yes No
4. Have you ever driven while under the influence of alcohol? (Required)
Yes No
5. Do you personally know anyone who has been killed or injured in a drunk driving accident? (Required)
Yes No
6. Have you ever gotten in trouble with the law while driving under the influence of alcohol? (If you have never driven under the influence, please choose N/A) (Required)
Yes No N/A
7. Do you believe that drunk driving is a problem?
Yes No
8. What would be the best solution to this problem?

1. What is your age? (Required)

2. What is your gender? (Required)

Male
Female

3. Are you a regular drinker (i.e. at least once every one to two weeks)? (Required)

Yes
No

4. Have you ever driven while under the influence of alcohol? (Required)

Yes
No

5. Do you personally know anyone who has been killed or injured in a drunk driving accident? (Required)

Yes
No

6. Have you ever gotten in trouble with the law while driving under the influence of alcohol? (If you have never driven under the influence, please choose N/A) (Required)

   Yes
   No
   N/A

7. Do you believe that drunk driving is a problem?

Yes
No

8. What would be the best solution to this problem?