Ray's Awareness - Teenage Drivers
Answers marked with a * are required.
 
1. How old are you? *
 
 
 
2. Are you male or female? *
 
 
 
3. What type of driver's license do you have? *
 
 
 
4. Have you ever been pulled over for speeding? *
 
 
 
5. Have you ever been in an auto accident? *
 
 
 
6. If you answered yes to the last question, who was driving? *






      
 
 
 
7. How serious was the worst auto accident you have ever been in? *






      
 
 
 
8. Do you know anyone who was killed in an auto accident? *
 
 
 
9. If so, how old was the driver? *
 
 
 
10. If you have a driving story you would like to share with other teenaged drivers, please send it to me at rriggles at hotmail.com or you can write your story below:
 
 
     
 
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