Attachment F6 - Showcards for survey

Attachment F6 Show Cards for Main Survey Interview.doc

National Survey of U.S. Long-Haul Truck Driver Injury and Health

Attachment F6 - Showcards for survey

OMB: 0920-0865

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ATTACHMENT F6: SHOW CARDS FOR MAIN SURVEY INTERVIEW



C31.








NEVER

RARELY,

LESS THAN ONCE A WEEK


1-2 TIMES

PER WEEK


3-4 TIMES

PER WEEK


5-7 TIMES

PER WEEK






1

2

3

4

5






















C





WOULD NEVER

DOZE

SLIGHT

CHANCE

MODERATE

CHANCE

HIGH

CHANCE





1

2

3

4




33.

C39.






NOT AT ALL

LIKELY





VERY

LIKELY







0

1

2

3

4

5










C40.






NOT

AT ALL FATIGUED





AS FATIGUED AS I COULD

BE


0


1


2


3


4


5


6


7


8


9


10






C40a.





NO

INTERFERENCE




EXTREME

INTERFERENCE


0


1


2


3


4


5


6


7


8


9


10











C42.






NONE OF

THE DAY









THE ENTIRE DAY











0

1

2

3

4

5

6

7

8

9

10






G2, G3, G6







OFTEN

SOMETIMES

NEVER




1

2

3


















G7.







NOT AT ALL






VERY

MUCH







0

1

2

3

4

5






H1b.



WHITE


BLACK OR AFRICAN AMERICAN


ASIAN


AMERICAN INDIAN OR ALASKA NATIVE


NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER


SOME OTHER RACE

(SPECIFY)





H6.









AM/FM RADIO






SATELLITE RADIO






TELEVISION






TRUCK STOPS






POSTINGS THROUGH YOUR EMPLOYER






UNION POSTINGS






INTERNET WEBSITE POSTINGS






TRUCKING MAGAZINES/PUBLICATIONS






SOMETHING ELSE?






















File Typeapplication/msword
File TitleC31
Authorwks1
Last Modified Bynbr5
File Modified2010-04-09
File Created2010-04-09

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