If you attended one of our presentations and have not previously completed a feedback form, we would like to hear from you regarding our teen driver safety awareness program. Please answer the following questions.
1. Have you ever been afraid while riding as a passenger in a car?
4. Have you ever driven after drinking alcohol?
Yes
No
5. Did you learn anything from the program? If yes, please comment below.
2. Do you wear your seatbelt?
Sometimes
6. Do you think this program will change your future behavior? If yes, please comment below.
3. Do you speed?
Please comment if you answered "yes" to questions 5 and/or 6, above, or if you would like to send a personal message to the presenters.
"From the second the program started, my behavior changed. I choose not to get into a car with someone now if I don't think they are safe drivers. I tell people to slow down or let me out. Before I wouldn't do that, but now it literally means the world to me."Feedback from student of Canton [CT] High School after attending a presentation by !MPACT.
Name:(optional)
School:
E-mail:(optional)
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