Driver’s Safety Test

"*" indicates required fields

This field is hidden when viewing the form
MM slash DD slash YYYY
Name*
Date of Birth*

Driver's Safety Questionnaire

Please check all boxes that apply
1. How many deaths nationwide on average are the result of motor vehicle crashes?*
2. What are the top 3 causes of motor vehicle accidents?*
3. Which of the following are considered distracted driving? Check all that apply.*
4. What are some solutions for combatting 'driver fatigue? Choose all that apply.*
5. Are drivers expected to yield to pedestrians?*
6. What is a work-zone defined as?*
7. Wearing a seatbelt can save lives*
8. Seatbelts are not important and do not make a difference*
9. Seatbelts should only be worn if you are going at least 20 MPH*
10. Not wearing a seatbelt is against the law*
11. Please check all of the following that represent good examples of Defensive Driving*