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Q.1
Have you ever had a 'close call' or almost crashed?
*
Yes
No
Not sure
Q.2
Have you ever found a dent in your car or on the curb and weren't sure how it got there?
Yes
No
Q.3
Do you find yourself getting lost in familiar locations?
Yes, that's happened to me before.
No
Q.4
Do you sometimes overlook traffic signs, like a stop sign?
Yes, they're hard to see sometimes.
No.
Q.5
When something unexpected happens, like a car pulling up in front of you, you...
Sometimes need time to react
React instantly
Q.6
Do you frequently think you have plenty space to turn or pull over, only to find yourself much closer to other cars?
Yes, that's happened before.
No, gaps in traffic are usually as wide as I think.
Q.7
Do you often get angry while driving?
Yes, I do.
No, not usually.
Q.8
Do you sometimes get distracted while driving?
Yes, my mind wanders sometimes.
No, my focus is on the road.
Q.9
When you make turns, can you easily see all around you?
Sometimes it's hard for me to check over my shoulder.
No problem.
Q.10
Be honest: Have you received any warnings from law enforcement officers about your driving?
Yes, there may have been one or two in the past couple years.
No, my driving hasn't caused a warning or citation.
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