Road Accident Survey

1) C ccaddGender

a) Male

b)Female 2) Status

a) Single

b)Married

3) Age

a) 18 26

b)27-35 c)36-44

d) 45 above4) Occupation _______________________5) number of road accidents1

2

3

More than 3

6) Cause of the accident

a) Driving above the speed limit prescribed

b) Road surface factor

c) Own negligence

d) Other Factor _________________________

7) time of accidenta) Morning b) Eveningc) Night 8) Comment

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