3 License 2

OMB #0925-XXXX

Expiration Date: XX/XXXX

Preventing Motor Vehicle Crashes Among Young Drivers

RHODE ISLAND DMV LICENSE+6 TELEPHONE SURVEY

Teen and Parent

(TMR Version 1.0)

Input Dataset Description

Datasets will be provided periodically to TMR; contents from Recruitment and Baseline surveys and license exam results, with contents to be specified, e.g.:

• Parent and teen names, mailing and street addresses, phone numbers, email addresses, and alternative contact persons

• Ages, races, relationship, marital and work status, family size, cars, drivers, other licensed children

• Teen’s permit number and provisional license date

Some expected data may be unknown, in which case the data will need to be asked for in this survey.

This survey covers the options of:

1. Calling teen’s or common phone number to interview teen only (parent already interviewed or scheduled).

2. Calling parent’s or common phone number to interview parent only (teen already interviewed or scheduled).

3. Calling common phone number to interview both (in this case, offer to begin with teen).

4. In the case of twins enrolled in the study, controlling for which teen the parent is interviewed.

[Opening screen displays first and last names of target teen and target parent, teen’s phone numbers, parent’s phone numbers, street addresses for both, the date on which the teen/parent were recruited into the study, the date when the teen got his/her learner’s permit, whether the teen has his/her license, and what the license date is [if has and known].]

[If teen needs interviewing, continue with Teen Interview. If this targets only the parent, continue with the Parent Interview.]

[If teen and parent are not at the same address, calls to interview the teen and calls to interview the parent should proceed independently of each other. In particular, neither target should wait until the other is interviewed before TMR starts after them.]

TEEN LICENSE+6 INTERVIEW

Introduction

(Read first parts only when phone is first answered) Hello, my name is ____________ from the Checkpoints Program for young drivers and their parents. Is [Teenfirstname] available?

(If not) When would be a good time to reach [him/her]? (Schedule callback; then, if parent hasn’t been interviewed and is at same address, attempt parent interview.)

(If yes, continue)

(Read only if teen is just now coming to the phone) Hello, my name is ____________ from the Checkpoints Program.

At this time, we need to do third interview with you. As before, you will receive $20 for completing this interview, which will take about 20 minutes. Do you have time to do it now?

(If doesn’t remember the study or agreeing to participate, continue with this explanation:) We first talked to you on [V19, date] at the [V21, name of DMV Registry office]. You and your [V38, parent-relationship], [V22, parentfirstname] [V23, parentlastname], agreed to take part in the Checkpoints Program. We interviewed both of you at that time and right after by phone.)

(If not a good time, schedule callback; then, if parent hasn’t been interviewed and is at same address, attempt parent interview.)

I am just going to run through the questions. If YOU have any questions, feel free to stop me; otherwise; I will just keep going until we are finished.

PERCEIVED RISK

T1. When teens (in general) drive with no adult from the second to sixth month with a provisional license, how does each of the following situations affect their risk of having a crash or getting injured? Please respond from 1 to 5 where 1 = no increase in risk; 2 = a little increase in risk; 3 = medium increase in risk; 4 = large increase in risk; and 5 = very large increase in risk.

How does driving… affect their risk of having a crash or getting injured? (Read the prompt for the first three questions, then repeat as necessary. Read 1-5 scale definitions for the first two-three questions, then as necessary.)

	No increase in risk	A little increase in risk	Medium increase in risk	Large increase in risk	Very large increase in risk
a. Under the influence of alcohol or drugs	1	2	3	4	5
b. While not wearing a seat belt	1	2	3	4	5
c. With 2 or more teen passengers	1	2	3	4	5
d. Late at night on the weekend	1	2	3	4	5
e. Outside of local or familiar areas	1	2	3	4	5
f. With 1 teen passenger	1	2	3	4	5
g. After 9 p.m.	1	2	3	4	5
h. Between 10 p.m. and 1 a.m.	1	2	3	4	5
i. In very bad weather (for example, snow, ice, heavy rain)	1	2	3	4	5
j. On unfamiliar roads	1	2	3	4	5
k. With 2 or more teen passengers on a weekend night	1	2	3	4	5
l. Late at night during the week	1	2	3	4	5
m. On freeways or expressways	1	2	3	4	5
n. While passengers use drugs or alcohol in the vehicle	1	2	3	4	5
o. Between 1 a.m. and 6 a.m.	1	2	3	4	5

DRIVING LIMITS/PRIVILEGES

T2. When you were driving with no adult from the second to sixth month of licensing, how often were you allowed to drive under the following conditions? Please answer on a scale from 1 to 5, with 1 = never or almost never allowed; 2 = rarely; 3 = sometimes allowed; 4 = often allowed; and 5 = always or almost always allowed. (DNR 6 = na/refused)

How often were you allowed to drive… (Read the prompt for the first three questions, then repeat as necessary. Read 1-5 scale definitions for the first two-three questions, then as necessary.)

	Never or Almost Never	Rarely	Some- times	Often	Always or Almost always
a. With 1 teen passenger	1	2	3	4	5
b. With 2 or more teen passengers	1	2	3	4	5

 Exactly how many passenger(s) are you allowed? [LET THEM ANSWER AND FILL IN AS ONE OF THE FOLLOWING:

1. 0

2. 1, sometimes

3. 1, any time

4. 2, sometimes

5. 2, any time

6. 3

7. 4 or more/as many as you want/no limits

How often were you allowed to drive…	Never or Almost Never	Rarely	Some- times	Often	Always or Almost always
c. After 9 p.m.	1	2	3	4	5
d. Between 10 p.m. and 1 a.m.	1	2	3	4	5
e. Between 1 a.m. and 6 a.m.	1	2	3	4	5

 Exactly how late have you been allowed to drive during the week? [LET THEM ANSWER AND FILL IN AS ONE OF THE FOLLOWING:]

___ 1. Day light only

___ 2. 8 p.m.

___ 3. 9 p.m.

___ 4. 10 p.m.

___ 5. 11 p.m.

___ 6. Midnight

___ 7. 1 a.m.

___ 8. 2 a.m.

___ 9. No limit

___ 10. Other  ____________________

 Exactly how late have you been allowed to drive on the weekend? [LET THEM ANSWER AND FILL IN AS ONE OF THE FOLLOWING:]

___ 1. Day light only

___ 2. 8 p.m.

___ 3. 9 p.m.

___ 4. 10 p.m.

___ 5. 11 p.m.

___ 6. Midnight

___ 7. 1 a.m.

___ 8. 2 a.m.

___ 9. No limit

___ 10. Other  ____________________

ACCESS TO VEHICLE AND OWNERSHIP

T3. Now that you have your provisional driver’s license, how often do you have access to a vehicle?

___ 1. Less than once a week

___ 2. About once a week

___ 3. 2-3 times a week

___ 4. 4-5 times a week

___ 5. Almost every day

___ 6. Once a day

___ 7. More than once a day

___ 8. Pretty much all the time

___ 9. (DNR) DK/refused

T4. Do you have your own vehicle?

___ 1. Yes ___ 2. No

KIND OF VEHICLE

T5.       What is the year, make, and model of the vehicle you drive most often? (Examples: 1997 Jeep Cherokee, 1999 Volkswagen Passat, 2000 Ford Taurus)

a. Year:   _______ (allow 1930-2005)                        

b. Make: _________________ (e.g., Jeep, Volkswagen, Ford)

c. Model: ________________ (e.g., Cherokee, Passat, Taurus)

DRIVING EXPERIENCE

T6. We are interested in how often you drive and the places you drive to. Did you drive at all in the past 7 days?

___ 1. Yes

___ 2. No [SKIP TO QUESTION T10]

T7. a. All in all, approximately how many places did you drive to in the past week? (If not sure, encourage “best estimate.”)

_______ Places (Accept 1-98 (for 98 or more); 99 = Unknown)

b. Approximately how many miles did you drive in the past week? (If not sure, encourage “best estimate.”)

_______ Miles (Accept 1-998 (for 998 or more); 999 = Unknown)

c. Approximately how many hours did you drive in the past week? (If not sure, encourage “best estimate.”)

_______ Hours (Accept 1-18 (for 18 or more); accept fractions; 19 = Unknown)

DRIVING TRIPS

T8. [Skip if answer to T6, drive in last week, is 2 (No)] Please tell us how much of your driving in the past week was done under the following conditions? 1 = never or almost never; 2 = rarely; 3 = sometimes; 4 = often; and 5 = always or almost always. (DNR 6 = na/refused)

In the last week, how much of your driving was done … [Read the prompt for the first three questions, then repeat as necessary. Read 1-5 scale definitions for the first two-three questions, then as necessary.]

___ a. With 1 teen passenger

___ b. With 2 or more teens passengers

___ c. After 9 p.m.

___ d. Between 10 p.m. and 1 a.m.

___ e. Between 1 a.m. and 6 a.m.

___ f. In bad weather (for example, snow, ice, heavy rain)

___ g. Outside of local or familiar areas

___ h. On high-speed roads (55 miles per hour or higher speed limit)

RISKY DRIVING BEHAVIORS

T9. [Skip if answer to T6, drive in last week, is 2 (No)] Think about your driving during the last 7 days. I’m going to go through a number of things you might have done while driving. I’d like you to tell me how often you did them, on a scale from 1 to 5, where 1 = never, 2 = rarely, 3 = sometimes, 4 = often, and 5 = always.

[ACCEPT 0-[T10]; USE 99 = UNKN/REF/OTHER]

In the last week, how often do you think you… [READ PROMPT FIRST 3 TIMES, THEN AS NECESSARY; READ SCALE VALUES THE FIRST 2-3 TIMES, THEN AS NECESSARY.]]

		Never	Rarely	Some-times	Often	Always
a.	Exceeded the speed limit in residential or school zones	1	2	3	4	5
b.	Drove 10-19 miles per hour over the speed limit	1	2	3	4	5
c.	Drove 20 or more miles per hour over the speed limit	1	2	3	4	5
d.	Purposely tailgated or followed another vehicle very closely	1	2	3	4	5
e.	Switched lanes to weave through slower traffic	1	2	3	4	5
f.	Changed lanes with very little room between vehicles	1	2	3	4	5
g.	Cut in front of a vehicle to turn	1	2	3	4	5
h.	Pulled out into traffic without waiting for a large space between vehicles	1	2	3	4	5
i.	Made an illegal U-turn	1	2	3	4	5
j.	Went through an intersection when the light was yellow or just turning yellow	1	2	3	4	5
k.	Went through an intersection when the light was red or just turning red	1	2	3	4	5
l.	Went through a stop sign without stopping completely	1	2	3	4	5
m.	Drove after drinking alcohol or using illegal drugs	1	2	3	4	5
n.	Changed lanes without signaling	1	2	3	4	5
o.	Played the radio so loudly you wouldn’t be able to hear other vehicle horns or sirens	1	2	3	4	5
p.	Drove without wearing a seat belt	1	2	3	4	5
q.	Raced another vehicle, even just for a short distance	1	2	3	4	5
r.	Read, ate, talked on a cell phone, put on makeup, horsed around with passengers, or other such activities while driving	1	2	3	4	5
s.	Drove in a way to show off to other people	1	2	3	4	5

LIMIT NORMS FOR PARENTS

T10. When teens drive with no adult from the second to sixth month with a provisional license, how many parents do you think allow their teens to drive under the following conditions? Please respond from 1 to 5, where 1 = Not many parents at all; 2 = Less than half parents; 3 = Half of all parents; and 4 = More than half parents; 5 = nearly all parents. (Read 1-5 scale definitions for the first two-three questions, then as necessary.)

	Not many parents at all	Less than half parents	Half of all parents	More than half parents	Nearly all parents
a. With 1 teen passenger	1	2	3	4	5
b. With 2 or more teen passengers	1	2	3	4	5
c. After 9 p.m.	1	2	3	4	5
d. Between 10 p.m. and 1 a.m.	1	2	3	4	5
e. Between 1 a.m and 6 a.m.	1	2	3	4	5

DRIVING CONSEQUENCES

T11. How likely is it that your parents would reduce or take away some of your driving privileges if they found out you did the following? Please answer on a scale from 1 to 5, with 1 = not at all likely, 2 = only a little likely, 3 = fairly likely, 4 = quite likely, and 5 = very likely. … [READ THE PROMPT FOR THE FIRST THREE QUESTIONS, THEN REPEAT AS NECESSARY. READ 1-5 SCALE DEFINITIONS FOR THE FIRST THREE QUESTIONS, THEN AS NECESSARY.]

		Not at all likely	Only a little likely	Fairly likely	Quite Likely	Very likely
a.	Got pulled over by the police or got a ticket	1	2	3	4	5
b.	Did not wear a seat belt?	1	2	3	4	5
c.	Did not have every passenger wear a seatbelt	1	2	3	4	5
d.	Did not get permission for a trip	1	2	3	4	5
e.	Did not tell your parent where you were going in the car	1	2	3	4	5
f.	Did not tell your parent who would be the passengers in the vehicle	1	2	3	4	5
g.	Did not tell your parent when you would return	1	2	3	4	5
h.	Did not call home when you would be late	1	2	3	4	5
i.	Did not call home when your plans changed while you were out with the car	1	2	3	4	5
j.	Did not call home if you couldn’t get home safely	1	2	3	4	5
k.	Used alcohol or drugs and drove	1	2	3	4	5
l.	Rode with a driver who used alcohol or drugs	1	2	3	4	5
m.	Drove aggressively (e.g. speed, follow too closely, cut others off)	1	2	3	4	5

DEMOGRAPHICS

T12. What grade are you in? (If it’s summertime, what grade were you in last school year?)

 9^th

 10^th

 11^th

 12^th

 Not in school

 Other  Please describe: ____________

T13. What was your average grade for all classes last term?

 A average

 B average

 C average

 D average

 Failing

SUBSTANCE USE

T14. On how many of the past 30 days did you:

a. Smoke cigarettes _____ days

b. Drink beer, wine, or liquor _____ days

c. Use marijuana _____ days

[READ THE PROMPT FOR THE FIRST QUESTION, THEN REPEAT AS NECESSARY. RECORD THE NUMBER OF DAYS, 0 TO 30; 31=DK/ref.]

TRAFFIC CITATIONS AND MOTOR VEHICLE CRASHES

T15. Since you got your driver’s license, how many times, if any, have you been pulled over for a moving violation? ________ [8=8 or more, 9=DK/refused]

T16. Since you got your driver’s license, how many accidents have you been involved in as a driver? _________ [8=8 or more, 9=DK/refused]

DRIVING AGREEMENT

(Both Intervention and Comparison groups)

DISCUSSION ABOUT DRIVING RULES AND CONSEQUENCES

T17. From the second to sixth month with your provisional license, did you specifically discuss with your parents the rules for your driving? Answer on a scale from 1-5, with 1 = never, 2 = a few times; 3 = more than a few times; 4 = many times; and 5 = many, many times. _______

T18. From the second to sixth month with your provisional license, did you specifically discuss with your parents the consequences related to breaking driving rules? Answer on a scale from 1-5, with 1 = never, 2 = a few times; 3 = more than a few times; 4 = many times; and 5 = many, many times. _______

OTHERS

T19. From the second to sixth month with your provisional license, did you and your parent use a parent-teen driving contract or agreement when discussing and setting your driving privileges?

1. Yes

2. No

3. Not sure

T20. Do you and your parent have a Parent-Teen Driving Agreement in place now?

1. Yes

2. No

3. Not sure

T21. Did you and your parent specify in writing your driving privileges from the second to sixth month of licensure?

1. Yes

2. No

3. Not sure

(For intervention group only)

T22. Did you and your parent initial or sign the driving agreement specifying your driving privileges from the second to sixth month of licensure?

1. Yes

2. No

3. Not sure

T23. Would you recommend the Parent-Teen Driving Agreement to other families?

1. Yes

2. No

3. Not sure

FINISH

T24. We’ve finished the interview. I want to thank you for taking the time to answer all of our questions! To thank you for participating, we will be mailing you $20. At this time, I would like to confirm where we should send it and our other contact information for you. [Display “known” values, read them, make corrections as needed.]

First, Last Name _______________________________________________________

Street Address _______________________________________________________

City, ST, Zip _______________________________________________________

(if different:)

Mailing Address _______________________________________________________

Mailing City, ST, Zip ____________________________________________________

Weekday/daytime phone _________________________________________________

Weekend/evening phone _________________________________________________

Email Address _______________________________________________________

Thank you again.

(If parent is at this same address/phone number and needs to be interviewed (VAR 40 <> 2 and parent has not been interviewed or scheduled to be called at another time), continue.)

PARENT LICENSE+6 TELEPHONE INTERVIEW

Introduction

(Read first parts only when phone is first answered) Hello, my name is ____________ from the Checkpoints Program for young drivers and their parents. Is [ParentFirstName] [ParentLastName] available?

(If not) When would be a good time to reach [him/her]? (Schedule callback; then, if teen hasn’t been interviewed and is at same address, attempt teen interview.)

(If yes, continue)

(Read only if parent is just now coming to the phone) Hello, my name is ____________ from the Checkpoints Program.

P0. We interviewed you right after [he/she] got [his/her] provisional license. At this time, we need to do our third interview with you. As before, you will receive $20 for completing this interview, which will take about 15 minutes. Do you have time to do it now?

(If doesn’t remember the study or agreeing to participate, continue with this explanation:) We first talked to you on [V21, Date] at the [V21, name of DMV Registry office]. You and [TeenFirstName] agreed to take part in a parent-teen driving program called Checkpoints. We interviewed both of you and gave you Checkpoints materials at that time.

(If not a good time, schedule callback; then, if teen hasn’t been interviewed and is at same address, attempt teen interview.)

[IF VAR 40 = 1 READ THIS PARAGRAPH:] I know both of your teens have agreed to be in the study, and we’ll be interviewing both of them. However, to keep things simpler for you and for us, when we interview you about “your teen” we want you to answer just about [TeenFirstName].

As you know, your answers are completely confidential. I am just going to run through the questions. If YOU have any questions, feel free to stop me; otherwise, I will just keep going until we are finished.

PERCEIVED RISK

P1. When teens (in general) drive with no adult from the second to sixth month with a provisional license, how does each of the following situations affect their risk of having a crash or getting injured? Please respond from 1 to 5 where 1 = no increase in risk; 2 = a little increase in risk; 3 = medium increase in risk; 4 = large increase in risk; and 5 = very large increase in risk.

How does driving… affect their risk of having a crash or getting injured? (Read the prompt for the first three questions, then repeat as necessary. Read 1-5 scale definitions for the first two-three questions, then as necessary.)

	No increase in risk	A little increase in risk	Medium increase in risk	Large increase in risk	Very large increase in risk
a. Under the influence of alcohol or drugs	1	2	3	4	5
b. While not wearing a seat belt	1	2	3	4	5
c. With 2 or more teen passengers	1	2	3	4	5
d. Late at night on the weekend	1	2	3	4	5
e. Outside of local or familiar areas	1	2	3	4	5
f. With 1 teen passenger	1	2	3	4	5
g. After 9 p.m.	1	2	3	4	5
h. Between 10 p.m. and 1 a.m.	1	2	3	4	5
i. In very bad weather (for example, snow, ice, heavy rain)	1	2	3	4	5
j. On unfamiliar roads	1	2	3	4	5
k. With 2 or more teen passengers on a weekend night	1	2	3	4	5
l. Late at night during the week	1	2	3	4	5
m. On freeways or expressways	1	2	3	4	5
n. While passengers use drugs or alcohol in the vehicle	1	2	3	4	5
o. Between 1 a.m. and 6 a.m.	1	2	3	4	5

DRIVING LIMITS/PRIVILEGES

P2. When [teenfirstname] was driving with no adult from the second to sixth month of licensing, how often is s/he allowed to drive under the following conditions? Please answer on a scale from 1 to 5, with 1 = never or almost never allowed; 2 = rarely; 3 = sometimes allowed; 4 = often allowed; and 5 = always or almost always allowed. (DNR 6 = na/refused)

How often was [teenfirstname] allowed to drive… (Read the prompt for the first three questions, then repeat as necessary. Read 1-5 scale definitions for the first two-three questions, then as necessary.)

	Never or Almost Never	Rarely	Some- times	Often	Always or Almost always
a. With 1 teen passenger	1	2	3	4	5
b. With 2 or more teen passengers	1	2	3	4	5

 Exactly how many passenger(s) do you allow [teenfirstname] to drive with? [LET THEM ANSWER AND FILL IN AS ONE OF THE FOLLOWING:

8. 0

9. 1, sometimes

10. 1, any time

11. 2, sometimes

12. 2, any time

13. 3

14. 4 or more/as many as you want/no limits

How often was s/he allowed to drive…	Never or Almost Never	Rarely	Some- times	Often	Always or Almost always
c. After 9 p.m.	1	2	3	4	5
d. Between 10 p.m. and 1 a.m.	1	2	3	4	5
e. Between 1 a.m. and 6 a.m.	1	2	3	4	5

 Exactly how late is [teenfirstname] allowed to drive during the week? [LET THEM ANSWER AND FILL IN AS ONE OF THE FOLLOWING:]

___ 1. Day light only

___ 2. 8 p.m.

___ 3. 9 p.m.

___ 4. 10 p.m.

___ 5. 11 p.m.

___ 6. Midnight

___ 7. 1 a.m.

___ 8. 2 a.m.

___ 9. No limit

___ 10. Other  ____________________

 Exactly how late is [teenfirstname] allowed to drive on the weekend? [LET THEM ANSWER AND FILL IN AS ONE OF THE FOLLOWING:]

___ 1. Day light only

___ 2. 8 p.m.

___ 3. 9 p.m.

___ 4. 10 p.m.

___ 5. 11 p.m.

___ 6. Midnight

___ 7. 1 a.m.

___ 8. 2 a.m.

___ 9. No limit

___ 10. Other  ____________________

LIMIT NORMS FOR PARENTS

P3. When teens drive with no adult from the second to sixth month with a provisional license, how many parents do you think allow their teens to drive under the following conditions? Please respond from 1 to 5, where 1 = Not many parents at all; 2 = Less than half parents; 3 = Half of all parents; and 4 = More than half parents; 5 = nearly all parents. Read 1-5 scale definitions for the first two-three questions, then as necessary.)

	Not many parents at all	Less than half parents	Half of all parents	More than half parents	Nearly all parents
a. With 1 teen passenger	1	2	3	4	5
b. With 2 or more teen passengers	1	2	3	4	5
c. After 9 p.m.	1	2	3	4	5
d. Between 10 p.m. and 1 a.m.	1	2	3	4	5
e. Between 1 a.m and 6 a.m.	1	2	3	4	5

DRIVING CONSEQUENCES

P4. How likely is it that you would reduce or take away some of [TeenFirstName]’s driving privileges if you found out [s/he] did the following? Please answer on a scale from 1 to 5, with 1 = not at all likely, 2 = only a little likely, 3 = fairly likely, 4 = quite likely, and 5 = very likely.

[READ THE PROMPT FOR THE FIRST THREE QUESTIONS, THEN REPEAT AS NECESSARY. READ 1-5 SCALE DEFINITIONS FOR THE FIRST THREE QUESTIONS, THEN AS NECESSARY.]

		Not at all likely	Only a little likely	Fairly likely	Quite Likely	Very likely
a.	Got pulled over by the police or got a ticket	1	2	3	4	5
b.	Did not wear a seat belt?	1	2	3	4	5
c.	Did not have every passenger wear a seatbelt	1	2	3	4	5
d.	Did not get permission for a trip	1	2	3	4	5
e.	Did not tell your parent where you were going in the car	1	2	3	4	5
f.	Did not tell your parent who would be the passengers in the vehicle	1	2	3	4	5
g.	Did not tell your parent when you would return	1	2	3	4	5
h.	Did not call home when you would be late	1	2	3	4	5
i.	Did not call home when your plans changed while you were out with the car	1	2	3	4	5
j.	Did not call home if you couldn’t get home safely	1	2	3	4	5
k.	Used alcohol or drugs and drove	1	2	3	4	5
l.	Rode with a driver who used alcohol or drugs	1	2	3	4	5
m.	Drove aggressively (e.g. speed, follow too closely, cut others off)	1	2	3	4	5

The following questions are about the seventh to 12th month of teen driving.

SELF EFFICACY

P5. When your teen will be driving with no adult from the seventh to 12th month with a provisional license, how confident are you that you could set and enforce successfully the following limits on your teen (if you wanted to). Please answer on a scale from 1 to 5, with 1 = not confident at all, 2 = a little confident, 3 = somewhat confident, 4 = very confident, and 5 = totally confident.

[READ THE PROMPT FOR THE TWO QUESTIONS]

:

	Not confident at all	A little confident	Somewhat confident	Very confident	Totally confident
a. Driving with no more than one teen passenger	1	2	3	4	5
b. Driving no later than 11 p.m.	1	2	3	4	5

RESPONSE EFFICACY AND COSTS

P6. When your teen will be driving with no adult from the seventh to 12th month with a provisional license, do you agree that limiting your teen to drive no later than 11 p.m. would have the following effects? Please answer on a scale from 1 to 7, with 1 = strongly disagree, 2 = disagree, 3 = somewhat disagree, 4 = not certain (don’t know), 5 = somewhat agree, 6 = agree, 7 = strongly agree.

Do you agree that limiting your teen to drive no later than 11 p.m. from the seventh to 12th month would… [READ THE PROMPT FOR THE FIRST THREE QUESTIONS, THEN REPEAT AS NECESSARY. READ 1-5 SCALE DEFINITIONS FOR THE FIRST THREE QUESTIONS, THEN AS NECESSARY.]

	Strongly Disagree	Disagree	Some-what disagree	Not certain (don’t know)	Some-what agree	Agree	Strongly Agree
a. Reduce your teen’s risky driving behavior	1	2	3	4	5	6	7
b. Reduce your teen’s risk of getting a ticket	1	2	3	4	5	6	7
c. Reduce your teen’s risk of being involved in a crash	1	2	3	4	5	6	7
d. Complicate your teen travel arrangements	1	2	3	4	5	6	7
e. Complicate your travel arrangements	1	2	3	4	5	6	7
f. Greatly increase conflict with your teen	1	2	3	4	5	6	7

P7. When your teen will be driving with no adult from the seventh to 12th month with a provisional license, would limiting your teen to drive with no more than one teen passenger have the following effects? Please answer on a scale from 1 to 7, with 1 = strongly disagree, 2 = disagree, 3 = somewhat disagree, 4 = not certain (don’t know), 5 = somewhat agree, 6 = agree, 7 = strongly agree.

Do you agree that limiting your teen to drive with no more than one teen passenger from the seventh to 12th month would… [READ THE PROMPT FOR THE FIRST THREE QUESTIONS, THEN REPEAT AS NECESSARY. READ 1-5 SCALE DEFINITIONS FOR THE FIRST THREE QUESTIONS, THEN AS NECESSARY.

	Strongly Disagree	Disagree	Some-what disagree	Not certain (don’t know)	Some-what agree	Agree	Strongly Agree
a. Reduce your teen’s risky driving behavior	1	2	3	4	5	6	7
b. Reduce your teen’s risk of getting a ticket	1	2	3	4	5	6	7
c. Reduce your teen’s risk of being involved in a crash	1	2	3	4	5	6	7
d. Complicate your teen travel arrangements	1	2	3	4	5	6	7
e. Complicate your travel arrangements	1	2	3	4	5	6	7
f. Greatly increase conflict with your teen	1	2	3	4	5	6	7

VULNERABILITY

P8. When your teen will be driving with no adult from the seventh to12th month with a provisional license, your teen’s crash risk will not be as high as those of other teens because s/he… Please answer on a scale from 1 to 7, with 1 = strongly disagree, 2 = disagree, 3 = somewhat disagree, 4 = not certain (don’t know), 5 = somewhat agree, 6 = agree, 7 = strongly agree.

Do you agree that your teen’s crash risk from the seventh to 12th month will not be as high as those of other teens because s/he… [READ THE PROMPT FOR THE FIRST THREE QUESTIONS, THEN REPEAT AS NECESSARY. READ 1-5 SCALE DEFINITIONS FOR THE FIRST THREE QUESTIONS, THEN AS NECESSARY.

	Strongly Disagree	Disagree	Some-what disagree	Not certain (don’t know)	Some-what agree	Agree	Strongly Agree
a. … is mature	1	2	3	4	5	6	7
b. … is responsible	1	2	3	4	5	6	7
c. … is a good student	1	2	3	4	5	6	7
d. … is a boy/girl	1	2	3	4	5	6	7
e. … will have lots of supervised practice	1	2	3	4	5	6	7
f. … is not susceptible to peer pressure	1	2	3	4	5	6	7
g. … is not a risk taker	1	2	3	4	5	6	7
h. … drives very well	1	2	3	4	5	6	7
i. … drives very carefully	1	2	3	4	5	6	7

DRIVING AGREEMENT

(Both Intervention and Comparison groups)

DISCUSSION ABOUT DRIVING RULES AND CONSEQUENCES

P9. From the second to sixth month with her/his provisional license, did you specifically discuss with [TeenFirstName] the rules for her/his driving? Answer on a scale from 1-5, with 1 = never, 2 = a few times; 3 = more than a few times; 4 = many times; and 5 = many, many times. _______

P10. From the second to sixth month with her/his provisional license, did you specifically discuss with [TeenFirstName] the consequences related to breaking driving rules? Answer on a scale from 1-5, with 1 = never, 2 = a few times; 3 = more than a few times; 4 = many times; and 5 = many, many times. _______

P11. From the second to sixth month with her/his provisional license, did you and [TeenFirstName] use a parent-teen driving contract or agreement when discussing and setting her/his driving privileges?

1. Yes

2. No

3. Not sure

P12. Do you and [TeenFirstName] have a Parent-Teen Driving Agreement in place now?

1. Yes

2. No

3. Not sure

P13. Did you and [TeenFirstName] specify in writing her/his driving privileges from the second to sixth month of licensure?

1. Yes

2. No

3. Not sure

P14. Did you and [TeenFirstName] initial or sign the driving agreement specifying her/his driving privileges from the second to sixth month of licensure?

1. Yes

2. No

3. Not sure

P15. Please tell us how satisfied you are with the Parent-Teen Driving Agreement. Answer on a scale of 1 to 5, with 1 = Not at all satisfied and 5 = Very satisfied. (DNR: 6 = DK)

_____

P16. Would you recommend the Parent-Teen Driving Agreement to other families?

1. Yes

2. No

3. Not sure

P17. We’ve finished the interview. I want to thank you for taking the time to answer all of our questions! To thank you for participating, we will be mailing you $20. At this time, I would like to confirm where we should send it – and check the other information we have for you. [Display “known” values, read them, make corrections as needed.]

First, Last Name _______________________________________________________

Street Address _______________________________________________________

City, ST, Zip _______________________________________________________

(if different:)

Mailing Address _______________________________________________________

Mailing City, ST, Zip ____________________________________________________

Weekday/daytime phone _________________________________________________

Weekend/evening phone _________________________________________________

Email Address _______________________________________________________

(If teen is at this same address/phone number and has not been interviewed or scheduled to be called at another time, continue with Teen Interview.)

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