Kindly Take Out A Few Minutes For Filling Up The Following Survey

Name

Age

Sex

Male Female

Profession

Education

Location of Residence

Location of Work Place

Whether Personal Vehicle/Public Transport

Type of Vehicle Used

Traffic Flow

1-Very Poor 2-Poor 3-Fair 4-Good 5-Very Good

Behaviour of other road users

1-Very Poor 2-Poor 3-Fair 4-Good 5-Very Good

Role of traffic police

1-Very Poor 2-Poor 3-Fair 4-Good 5-Very Good

Preparedness of the system to handle road accident emergencies

1-Very Poor 2-Poor 3-Fair 4-Good 5-Very Good

Give details of any critical location where action is required for improving road safety