First name: | |
Last name: | |
Address 1: | |
Address 2: | |
City: | |
State: | |
Zip: | |
Country: | |
1. Do you, or anyone in your household, drive a car? | Yes No |
(If you answered "no" to the question above, please skip to question 7) |
2. What brand car do you drive? Make:
Model:
Year: |
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3. How often do you drive your car? | Rarely Once a week Several times a week Daily Several times a day I drive on the job |
4. What do you think is the most important feature in an automobile? | Comfort Safety Performance Looks Good Value / Price |
5. Have you, or anyone in your household been involved in an automobile accident in the last three years? | Yes No |
6. Considering the vehicle you or someone in your household currently drives, would you say that this vehicle is safe? | Yes No |
7. On a scale of 1 to 5, how would you rate the importance of safety in a vehicle for you or your family? | 1 - Not Important 2 - Somewhat Important 3 - Important 4 - Extremely Important 5 - My top concern |
8. Would you be interested in purchasing a vehicle equipped with a new type of safety device? | Yes No |
9. What is your opinion of the term "Active Safety System"? | Dislike No Opinion Like |
10. Would you pay more for a car equipped with an "Active Safety System" than for one without? | Yes No |
Thank you for completing the survey! |