Form MCSA-5852 OBMS Study Pre-Study Questionnaire

OMB NO: 2126-XXXX
EXPIRATION DATE: mm/dd/yyyy

MCSA-5852

Public Burden Statement

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2126-XXXX. Public reporting for this collection of information is estimated to be approximately 20 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Motor Carrier Safety Administration, MC-RRA, 1200 New Jersey Avenue, SE, Washington, D.C. 20590-0001.

OBMS Study PRE-STUDY Questionnaire

Participant ID______________

Please answer the following questions based on what you think the system will be like. To answer, check only one box for each statement that best expresses your answer (unless indicated otherwise). The questionnaire will take about 20 minutes to complete.

General Use of DriveVision Pro

1. I think using the DriveVision Pro will …

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
… make me a safer driver							
… make it easier to drive							
… make me more aware of my surroundings (other vehicles, lane position, etc.)							
… reduce distractions							
… reduce sleepiness							
… improve my driving							

2. I think the DriveVision Pro will be useful (e.g., improves safety, reduces speeding events, reduces distraction, etc.) in the following situations:

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
Local/Residential road							
Highway/Freeway							
Good weather							
Bad weather							
Daytime							
Nighttime							

3. I think the DriveVision Pro will be…

   	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
   … easy to use							
   … easy to learn							
   … easy to understand							
   … annoying							
   … distracting							

4. I think it will be easy to use the DriveVision Pro (e.g., easy to understand, not annoying or distracting etc.) in the following situations:

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
Local/Residential road							
Highway/Freeway							
Good weather							
Bad weather							
Daytime							
Nighttime							

5. I will trust the information I receive from the DriveVision Pro.

   						
   Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

6. I think I can depend on the DriveVision Pro.

   						
   Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

7. I will feel more comfortable doing other things (e.g., adjusting the radio) with the DriveVision Pro.

						
Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

Forward Collision Warning

The DriveVision Pro has a Forward Collision Warning that tells you when you are too close to the vehicle ahead. This warning includes a high-urgency sound to direct your attention to the road, followed by visual icon (shown in the picture).

8. The Forward Collision Warning will be useful (for example, helpful in avoiding collisions) in the following situations:

   	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
   Local/residential road							
   Highway/freeway							
   Good weather							
   Bad weather							
   Daytime							
   Nighttime							

9. The Forward Collision Warning will…

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
… make me a safer driver							
… make it easier to drive							
… be distracting							
… be annoying							

Lane Departure Warning

The DriveVision Pro has a Lane Departure Warning that tells you when you are drifting out of your lane. This warning includes a high-urgency sound to direct your attention to the road, followed by visual icon (shown in the picture).

10. The Lane Departure Warning will be useful (e.g., helps me maintain lane position) in the following situations:

    	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
    Local/residential road							
    Highway/freeway							
    Good weather							
    Bad weather							
    Daytime							
    Nighttime							

11. The Lane Departure Warning will...

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
… make me a safer driver							
… make it easier to drive							
… be distracting							
… be annoying							

Long Glances Away from Roadway Warning

The DriveVision Pro warning about Long Glances Away From Roadway. This warning includes a high-urgency sound to direct your attention to the road, followed by a visual icon (shown in the picture).

12. The Long Glances Away From Roadway Warning will be useful (e.g.,, helpful in avoiding collisions) in the following situations:

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
Local/residential road							
Highway/freeway							
Good weather							
Bad weather							
Daytime							
Nighttime							

13. The Long Glances Away From Roadway Warning will…

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
… make me a safer driver							
… make it easier to drive							
… be distracting							
… be annoying							

Driver State Notification Warnings

The DriveVision Pro has several Driver State Notifications that warn you about drowsiness, aggressive driving, out of hours of service (HOS), etc. This warning includes a low-urgency sound, and is followed by a visual icon (shown in the picture).

14. The Driver State Notifications will be useful (for example, helpful in avoiding collisions) in the following situations:

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
Local/residential road							
Highway/freeway							
Good weather							
Bad weather							
Daytime							
Nighttime							

15. The Driver State Notification Warnings will…

	Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree
… make me a safer driver							
… make it easier to drive							
… be distracting							
… be annoying							

Other Comments about DriveVision Pro

16. If I had a choice, I would drive a truck equipped with the DriveVision Pro.

    						
    Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

17. If I had the DriveVision Pro in my truck, I would use it.

    						
    Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

18. If I had the DriveVision Pro, I would adjust my driving to its information.

						
Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

19. I would recommend the DriveVision Pro to other truck drivers.

    						
    Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

20. I think being monitored by the DriveVision Pro will be an invasion of my privacy.

						
Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

21. I think sharing my driving data with my safety supervisor will be an invasion of my privacy.

						
Strongly Disagree	Disagree	Slightly Disagree	Neutral	Slightly Agree	Agree	Strongly Agree

A Little about You

1. What is your age? _________ years

2. Gender:  Male  Female

3. How tall are you? __________ feet ___________ inches

4. How much do you weigh? ____________ pounds (lbs)

5. Have you ever been tested for sleep apnea?   Yes      No

   1. If you marked ‘Yes’, do you currently have sleep apnea?  Yes      No

6. Do you wear contact lenses?  Yes  No

7. Do you wear glasses at night when driving?  Yes      No

8. How long have you been working at this company? _______years _______months

9. How long have you had a driver’s license (non-CDL)? _______years _______months

10. How long have you had a commercial driver’s license (CDL)? _______years _______months

11. Is your truck…  Company-owned  Privately-owned

12. What type of CDL endorsement/restrictions do you have? (Check all that apply)

 Air brakes restriction (L)  Intrastate only (K)

 Passenger (P)  Double/triple trailer (T)

 Tank (N)  HazMat (H)

 Tank and HazMat (X)  Other, please specify _____________________

13. Do you typically operate: (Check only one)

 Solo  In a team or couple  Slip seat

14. How many employers have you had in the last five years (including your current employer)? _____

15. How many of these employers required you to have a CDL? _____

16. Did you attend a truck driver training school?   Yes      No

    1. If you marked ‘Yes’, what was the duration of the training? ____weeks ____days

    2. Was your training PTDI certified?   Yes      No

17. Do you have more than one employer?   Yes      No

    1. If you marked ‘Yes’, what other jobs do you currently work? ________________

18. What is your current marital status? (check only one):

 Now married (Skip to question 21)  Widowed  Divorced  Separated  Never married

19. Are you currently living with a boyfriend/girlfriend or partner?

 Yes  No (Skip to question 21)

20. Are you currently living in a registered domestic partnership or civil union?

 Yes  No

21. How many dependents do you have (e.g., parents and/or children)? __________

22. What is your highest level of education?

 Some high school or less  4-year college degree

 High school diploma  Master’s degree

 Some college  Professional degree

 2-year college degree/trade school  Doctorate degree

23. Are you of Hispanic or Latino origin?

 Yes      No

24. What is your race? Please select one or more.

 White

 Black or African-American

 Asian

 Native Hawaiian or Other Pacific Islander

 American Indian or Alaska Native

25. Is English your first language?  Yes      No

    1. If you marked ‘No’, what is your first language? _____________

26. a. How many moving violations have you had in the last 36 months: __________

b. How many of these moving violations were in the last 12 months: __________

27. a. How many vehicular crashes have you been involved in during the last 36 months: __________

b. How many of these crashes were considered 'your fault': __________

28. a. How many vehicular crashes have you been involved in during the last 12 months: __________

b. How many of these crashes were considered 'your fault': __________

Thank you for participating in this questionnaire.

Please direct any questions or concerns regarding this questionnaire to:

Yiyun Peng University of Washington Research Assistant Department of Industrial and System of Engineering Box 352650 Seattle, WA 98195-2650 Phone: 866-577-0848 (toll free) E-mail: [email protected]

Linda Boyle University of Washington Associate Professor Department of Industrial and System of Engineering Box 352650 Seattle, WA 98195-2650 Phone: 866-577-0848 (toll free) E-mail: [email protected]

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