| Answer Never, Sometimes, Frequently to the following questions. |
1. Forget to adjust the mirrors and seats, select entertainment options and other controls, or find the lights and turn signal before driving off? | | Never Sometimes Frequently |
2. Focus attention on passengers, especially when they are arguing or being unruly, rather than concentrate on the task of driving? | | Never Sometimes Frequently
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3. Eat food or drink beverages? | | Never Sometimes Frequently |
4. Use a cell phone to conduct serious business and deal with complicated family issues? | | Never Sometimes Frequently
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5. Change the radio, CD, or tape while driving? | | Never Sometimes Frequently
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6. Shave, put on make up, or attend to other personal grooming tasks? | | Never Sometimes Frequently |
7. Carry loose objects of cargo such as pets, plants, or other miscellaneous items in your car? | | Never Sometimes Frequently |
8. Read a road map, newspaper, or work report? | | Never Sometimes Frequently
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9. Prepare for an upcoming business meeting? | | Never Sometimes Frequently |
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