Driving Habits Survey Form
Help us better understand how and why you drive by answering a few quick questions about your driving habits.
How often do you drive in a typical week?
*
Every day
4-6 days per week
1-3 days per week
Rarely
Never
What type of vehicle do you drive most often?
*
Sedan
SUV
Truck
Motorcycle
Other
On average, how many miles or kilometers do you drive per week?
*
Please Select
Less than 50
50–100
101–250
251–500
Over 500
What is your main purpose for driving?
*
Commuting to work or school
Errands and shopping
Leisure or recreation
Business or work-related
Other
When do you typically drive?
*
Weekday mornings
Weekday evenings
Weekends
Late nights
Do you usually drive alone or with passengers?
*
Alone
With family
With friends
Carpool with coworkers or others
How often do you use alternative transportation instead of driving?
*
Never
Rarely
Sometimes
Often
Always
Have you been involved in any traffic incidents or accidents in the past year?
*
Yes
No
How would you describe your overall driving style?
*
Very cautious
Mostly cautious
Average
Occasionally aggressive
Aggressive
Is there anything else you'd like to share about your driving habits?
Submit
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