NHTSA Form 1199(b) Questionnaire Version B

Young Driver Survey

March 2014 Web Version B Questionnaire

Young Driver Instrument Usability Tests

OMB: 2127-0704

Document [doc]

Download: doc | pdf

OMB No. 2127-XXXX

Expiration Date: X/XX/2017

Questionnaire – Version B

Intro/Vehicle Use

First, for some general background, we have a few questions about your living arrangement.

Right now, are you living in a………..

_______ House

________Townhouse

________Condo

_______ Apartment

_______ Dormitory

_______ or something else?

2. At this residence, with whom do you live?

a. Both parents

b. One parent – mother

c. One parent – father

d. A guardian (either a legal guardian, or a guardian who cares for you but hasn’t been appointed by the courts)

e. Others, but not with parent(s) or guardian(s)

f. I live Alone.

Do you live there ………….

_______ All of the year

_______ More than 6 months, but less than a year

_______ About 6 months of the year

_______ Less than 6 months of the year

NHTSA Form 1199(b)

IF Q3is less than all of the year SKIP TO Q7, OTHERWISE CONTINUE

During the rest of the year, do you live in a……..

_______ House

_______Townhouse

_______Condo

_______ Apartment

_______ Dormitory

_______ or something else

5. Who do you live with during those other times of the year?

_______ Both parents

_______ One parent – mother

_______ One parent - father

_______ Guardian (either a legal guardian, or a guardian who cares for you but hasn’t been appointed by the courts )

________Others, but not parent(s) or guardian(s)

_______ Living alone

6. Do you tend to drive more while living at the place you are living at right now, or do you tend to drive more while living at the place(s) where you live the rest of the year?

_______ Drive more while living at current residence

_______ Drive more while living at the place(s) I live the rest of the year

_______ Neither, it’s about the same

[IF Q3 is less than all of the year > For the next set of questions, please think about the place where you drive the most]. Every week can be a little different, but we would like you to think about how much you drive and ride in a typical driving week. [Have a link to provide greater clarification. Also how to respond if there is no typical week.]

7. In a typical driving week, on how many days do you drive a motor vehicle?

_______ days [IF Q7=0 GO TO Q11]

_______ Never Drive [IF Q7=never drive GO TO Q11]

9. Is the vehicle you drive most often a car, SUV, van or minivan, pickup truck, motorcycle, or something else? (If you drive multiple vehicles about the same amount and can’t determine which of them you drive most often, select the one you drove most recently)

Car
SUV/Sport utility vehicle
Van or minivan
Pickup truck
Motorcycle
Other (including other kinds of trucks)—specify: ______________________

10. In a typical driving week, how many days do you drive with passengers in the vehicle who are under the age of 21?

_______ days per week

_______ less than once a week

_______ never drive with passengers in the vehicle who are under 21

Graduated Driver Licensing/Driver Education

11. Which of the following describes your own license for driving:

a) a full driver’s license, with no provisions

b) a Provisional Driver’s License

c) a Learner’s Permit

d) a Farm Permit or License

e) a Motorcycle License

f) a Suspended or Revoked License

g) I do not have a Learner’s Permit or any kind of driver’s license [go to Q24]

[PROVIDE A HYPERLINK WITH CLARIFICATION UNDER CATEGORY b: A provisional license has special rules that a driver must follow. Some States require that new drivers receive a provisional license before they can receive a full, unrestricted driver’s license.]

[DROPDOWN LIST WITH ALL THE 50 STATES]

12. What State did you get your driver’s license in? _________ [STATE]

13. When you reached the age at which you could apply for a Learner’s Permit to drive, how long did you wait until you applied for the Learner’s Permit?

a) I applied within 1 month after reaching the eligible age (Go To Q15)

b) I applied 1-to-6 months after reaching the eligible age (Go To Q15)

c) I applied 6 months to a year after reaching the eligible age

d) I applied 1-to-2 years after reaching the eligible age

e) I applied more than 2 years after reaching the eligible age

14 Why did you delay applying for your Learner’s Permit? (Select all that apply)

No adult was available to supervise me. YES__ NO__

b) No motor vehicle was available to drive. YES__ NO__

c) Driving was too expensive. YES__ NO__

d) I was not comfortable with driving. YES__ NO__

e) Driving wasn’t that important to me. YES__ NO__

f) I had other transportation options. YES__ NO__

g) Other (Specify) YES__ NO__

If Q11 = c SKIP To Q17

15. When you drove with a Learner’s Permit, how many hours of adult-supervised driving practice did you have?

a) More than 50 hours of supervised driving practice

c) Between 25 and 50 hours of supervised driving practice

d) Less than 25 hours of supervised driving practice

e) None

16. (Ask if Q11=a, has full license, otherwise skip to instruction before Q17). Did you have a provisional license before you received a full driver’s license? [Add hyperlink to define provisional license]

____ Yes

____ No

[Ask only if Q11=c: has Learner’s Permit, otherwise go to intro before Q20]

17. As far as you know, what rules are placed on drivers when they receive Learner’s Permits in [FILL STATE FROM #12]? (Check all that apply)

Licensed adult (21 or older) required in vehicle at all times
Licensed adult (21 or older) required in vehicle only during nighttime hours
All occupants must wear seat belts
The number of teenage passengers is restricted
Cannot drive with any measurable amount of alcohol in driver’s blood
The Permit is visually distinctive from a regular license
Must remain crash- and conviction-free for a set period of time to advance to the Provisional License [Add hyperlink to define provisional license]
No use of portable electronic communication and entertainment devices while driving
Parents/Guardians must certify to the DMV that the driver has driven a required number of practice hours
The driver is not allowed to drive during late night hours
No eating or drinking while driving
Other, specify

18 How often does(do) your parent(s) talk to you about following the rules for driving with a Learner’s Permit?

Very often
Somewhat often
Not very often
Never
Don’t live with a parent

19. If a driver is stopped by the police and found to be violating the rules of a Learner’s Permit, what do you think is likely to happen? [check all that apply]

a) Nothing YES__ NO__

b) The driver would receive a warning YES__ NO__

c) The driver would receive a ticket YES__ NO__

d) The driver’s Learner’s Permit would be suspended or taken away YES__NO__

e) Other (specify________) YES__ NO__

[Ask only if Q11=b, has Provisional Driver’s License, otherwise go to Q23 ]

20. As far as you know, what are the extra rules that are placed on drivers when they receive a Provisional License in [your State]? (Check all that apply)

Licensed adult (21 or older) required in vehicle at all times
Licensed adult (21 or older) required in vehicle only during nighttime hours
All occupants must wear seat belts
The number of teenage passengers is restricted
Can not drive with any measurable amount of alcohol in their blood
The Provisional License is visually distinctive from a Regular License
Must remain crash- and conviction-free for a set period of time to advance to the Regular License
No use of portable electronic communication and entertainment devices while driving
(Parents/Guardians) must certify to the DMV that their child has driven a required number of practice hours
The driver is not allowed to drive during late night hours
No eating or drinking while driving
Other, specify

21 How often (do your parents/does your parent) talk to you about following the rules for driving with a Provisional License?

Very often
Somewhat often
Not very often
Never
Don’t live with a parent

22. If a driver is stopped by the police and found to be violating the rules of a Provisional License, what do you think is likely to happen? [check all that apply]

a) Nothing YES__ NO__

b) The driver would receive a warning YES__ NO__

c) The driver would receive a ticket YES__ NO__

d) The driver’s Provisional License would be suspended or taken away YES__NO__

e) Other (specify________) YES__ NO__

23. In some locations, there are forums or other types of group meetings that provide new drivers and their parents with information on the graduated licensing system, driver insurance, and other matters that concern new drivers.

Did you ever attend a forum or group meeting that provided this information?

____ Yes, with a parent

____ Yes, with an adult other than a parent

____ Yes, I went alone

____ No

The next questions are about driver education, which can include training in a classroom, time driving with an instructor, or lessons offered through a computer. We are not referring to instruction from parents, friends or relatives.

24. Have you received any kind of driver education?

a) Yes

b) No—Skip to Q32

25 Have you ever had any driver education provided by a private driving school? [Provide link for definition of private driving school]

a) Yes

b) No—skip to Q27

26. What did this driver education include?

i. Training in a classroom Yes ___ No ___

ii. Time actually driving Yes ___ No ___

iii. Online training Yes ___ No ___

iv. Training using a simulator Yes ___ No ___

27. Have you ever had any driver education provided by a high school? Please do not count courses that were taught by a private company at a high school.

a) Yes

b) No—skip to instruction preceding Q29

28. Did this driver education include:

i. Training in a classroom Yes ___ No ___

ii. Time actually driving Yes ___ No ___

iii. Online training Yes ___ No ___

iv. Training using a simulator Yes ___ No ___

(If Q25 and Q27 = No, Go To Q29, Otherwise Skip To Instruction Before Q30)

29. (If Q25=No and Q27=No) Who provided the driver education that you received?

_______________________________

(Skip to Q31 if respondent has Learner’s Permit only or no license, Q11=c or g.)

30. Thinking about all of the driver education you received, how helpful would you say it was for passing the road test to receive your driver’s license?

a) Very helpful

b) Somewhat helpful

c) A little helpful

d) Not very helpful

31. Thinking about all of the driver education you received, how helpful would you say it was for learning good driving skills?

a) Very helpful

b) Somewhat helpful

c) A little helpful

d) Not very helpful

Cell Phone Use

If Q7 = never drive Skip to Q39

When you drive a motor vehicle, do you usually have a cell phone in the vehicle with you?

33. How often do you talk on the phone while you are driving?

On all driving trips
On most driving trips
On some driving trips
On almost no driving trips
Never

34. How often do you read text messages while you are driving and the vehicle is moving?

a) On all driving trips

b) On most driving trips

c) On some driving trips

d) On almost no driving trips

e) Never

35. How often do you send text messages while you are driving and the vehicle is moving?

a) On all driving trips

b) On most driving trips

c) On some driving trips

d) On almost no driving trips

e) Never

Belts

When you are driving a motor vehicle, how often do you wear a seatbelt?

All of the time
Most of the time
Some of the time
Rarely
Never

37. When was the last time that you did not wear a seat belt while driving?

a) Within the past week

b) Within the past month

c) Within the past year

d) More than a year ago [skip to #39

e) Never [skip to #39]

38. Do you agree or disagree with the following statements?.

Sometimes I do not wear my seat belt while driving because…

a. I’m only driving a short distance ___agree ___ disagree

b. I’m in a rush ___ agree ___ disagree

c. The seat belt is uncomfortable ___ agree ___ disagree

d. I forget to put it on ___ agree ___ disagree

e. My passengers aren’t wearing them ___ agree ___ disagree

f. I just don’t feel like it ___ agree ___ disagree

39. In general, how often do friends your age wear their seat belts when they’re driving?

a) All of the time

b) Most of the time

c) Some of the time

d) Rarely

e) Never

Police Stops/Enforcement

If Q7 = never drive Skip to Q44

40. In the past 12 months, how many times have you been stopped by the police while driving a motor vehicle?

_____ [NUMBER] {If zero, go to question #44}

41. Of the times you were stopped, how many times did you receive a ticket?

_____ [NUMBER] {If zero, go to question #44}

42. What was/were the violation(s) that were marked on the ticket(s)? [check all that apply]

_____ Speeding

_____ Running a red or yellow light

_____ Driving without a seat belt

_____ Failure to use a turn signal

_____ Careless or reckless driving

_____ Failure to stop at a stop sign

_____ Using a cellphone while driving

______ Minor in possession

______ Violation of zero tolerance

_______Other (specify)

43. Who paid the fine for the ticket(s)? Check all that apply:

a. I did

b. My parents or guardian

c. Someone else

d. The ticket was thrown out; no payment was made.

44. In the past 12 months, how many times have you been a passenger in a vehicle that was stopped by the police? [Provide link for definition of stop]

______ [NUMBER]

45. How much attention do you pay to messages in the media about police enforcement of traffic safety laws?

I pay a lot of attention.

I pay some attention.

I pay almost no attention.

I never see enforcement messages.

46. In general, how easy or difficult do you think it is for teenage drivers in your community to speed more than 20 miles over the speed limit without being stopped by police?

Very easy

Somewhat easy

Somewhat difficult

Very difficult

47. In general, how easy or difficult do you think it is for teenage drivers in your community to send text messages while driving without being stopped by the police?

Very easy

Somewhat easy

Somewhat difficult

Very difficult

48. In general, how easy or difficult do you think it is for teenage drivers in your community to talk on a handheld phone while driving without being stopped by the police?

Very easy

Somewhat easy

Somewhat difficult

Very difficult

Crash Experience

The next questions are about crashes and accidents where there was moderate or greater damage to a vehicle. Do not include crashes that resulted only in small scratches or small dents.

Regardless of who was at fault, have you ever been the driver of a vehicle involved in a crash or accident?

____ Yes

____ No

____ Never been a driver

50. Have you ever been a passenger in a vehicle involved in a crash or accident where the driver was under 21 years of age? Again, do not include crashes that resulted only in small scratches or small dents.

____ Yes

____ No

Alcohol Attitudes and Behavior

The next questions are about alcoholic beverages. “Alcoholic beverages” refers to a can of beer, glass of wine or wine coolers, shot of liquor or a mixed drink—not just sips.

51. Have you ever had an alcoholic beverage? If you have only had sips of an alcoholic beverage, please answer no.

□yes (continue) □no [go to #56]

52. During the last 12 months, how many alcoholic drinks did you have on a typical day when you drank alcohol?

______ 1 drink of alcohol

______ 2 drinks of alcohol

______ 3 to 4 drinks of alcohol

______ 5 to 6 drinks of alcohol

______ 7 to 8 drinks of alcohol

______ 9 or more drinks of alcohol

53. When you drink alcoholic beverages, who usually provides them?

a. Myself

b. A friend

c. A member of my family

d. Someone who is not a friend or family member

e. Not applicable because I don’t drink alcohol (skip to Q 56)

54. Below is a list of places where people can drink alcoholic beverages. For each one, please indicate whether you drink alcohol there never, rarely, sometimes, or often.

a. A bar or club

___ Never ____ Rarely _____ Sometimes _____ Often

b. A restaurant

___ Never ____ Rarely _____ Sometimes _____ Often

c. My home [Add link to give instructions for dual residence.]

___ Never ____ Rarely _____ Sometimes _____ Often

d. The home of someone I know

___ Never ____ Rarely _____ Sometimes _____ Often

e. The home of someone I don’t know well

___ Never ____ Rarely _____ Sometimes _____ Often

f. A car

___ Never ____ Rarely _____ Sometimes _____ Often

g. An outdoor place, such as the woods or a parking lot

___ Never ____ Rarely _____ Sometimes _____ Often

55. The next questions are about ways that people can get alcoholic beverages. If you wanted to get an alcoholic beverage, how easy or difficult would it be?

____ Very easy

____ Somewhat easy

____ Neither easy nor difficult

____ Somewhat difficult

____ Very difficult

56. Please indicate whether you agree or disagree with the following statements.

a. Someone I know has a fake ID that they use to buy alcoholic beverages

____ Agree

____ Disagree

b. One or more people I know over the age of 21 would be willing to buy alcoholic beverages for me

____ Agree

____ Disagree

c. I know of one or more bars that sell alcoholic beverages to people under 21

____ Agree

____ Disagree

d. I know of one or more stores that sell alcoholic beverages to people under 21

____ Agree

____ Disagree

e. I know some parents that provide alcohol to their kids and their kids’ friends who are under 21

____ Agree

____ Disagree

If Q7 = never drive SKIP TO Q60

57. In the past 30 days, how many days, if any, have you driven a motor vehicle within 2 hours after drinking alcoholic beverages? [dropdown list] [pop-up message (enter digits) Q57 to Q61]

_____ DAYS [IF ZERO, GO TO #60]

58. In the past 30 days, how many days, if any, have you driven a motor vehicle within 2 hours of having 5 or more drinks of alcohol?

_____ DAYS

59. In the past 30 days, how many days, if any, have you driven a motor vehicle while feeling buzzed from drinking alcohol?

_____ DAYS

60. In the past 30 days, how many days, if any, have you been a passenger in a motor vehicle when you think the driver was buzzed from drinking alcohol?

_____ DAYS

61 In the past 30 days, how many days, if any, have you been a passenger in a motor vehicle when you had concerns for your safety because of the amount of alcohol the driver had been drinking?

_____ DAYS

62. To your knowledge, is there a minimum drinking age in the State where you currently live?

____ yes

____ no [GO TO #64]

63. What is the minimum drinking age in the State where you currently live?

____ AGE

The next questions are about your opinion—.

64. I’d like you to think about an average [WILL BE PROGRAMMED FROM THE SAMPLE FILE. male/female—match gender of respondent] about your age. How many alcoholic beverages do you think such a person could have in a two hour period before they became buzzed or felt at least some effect from the alcohol? Please answer for each type of alcohol listed below.

12 ounce regular beers _________ [NUMBER]
12 ounce light beers _______ [NUMBER]
Drinks or shots of hard liquor _______ [NUMBER]
5 ounce glasses of wine _______ [NUMBER]

65. Again, thinking about an average [WILL BE PROGRAMMED FROM THE SAMPLE FILE male/female—match gender of respondent] about your age. How many alcoholic beverages do you think such a person could have in a two hour period before they would not be able to drive safely?

12 ounce regular beers _________ [NUMBER]

b.12 ounce light beers _______ [NUMBER]

c. Drinks or shots of hard liquor _______ [NUMBER]

d. 5 ounce glasses of wine [NUMBER]

Driving and Substance Use

If Q7 = never drive Skip to Q69

The next questions are about various other drugs. There is a lot of talk these days about this subject, but we still have a lot to learn about driving and the use of drugs by people your age. We hope that you can answer all questions; but if you find one that you feel you cannot answer honestly, please leave it blank.

66. In the past 30 days, how many days, if any, have you driven a motor vehicle while you were feeling buzzed, sleepy, or disoriented from using a drug other than alcohol? This could be a prescription or non-prescription drug.

_____ DAYS

67. Have you ever used any of the following substances within 24 hours before driving?

IF RESPONDENT SAYS YES TO ANY OF THE ITEMS, FOLLOW UP WITH Q68, THEN GO BACK TO Q67

a. Marijuana

Never used before driving
Yes, used before driving in past 30 days
Yes, used before driving, but not in past 30 days

a. Synthetic Marijuana

i. Never used before driving

ii. Yes, used before driving in past 30 days

iii. Yes, used before driving, but not in past 30 days

b. Ecstasy

Never used before driving
Yes, used before driving in past 30 days
Yes, used before driving, but not in past 30 days

c. Amphetamines

Never used before driving
Yes, used before driving in past 30 days
Yes, used before driving, but not in past 30 days

d. Sedatives or Tranquilizers

Never used before driving
Yes, used before driving in past 30 days
Yes, used before driving, but not in past 30 days

e. Bath Salts

Never used before driving
Yes, used before driving in past 30 days
Yes, used before driving, but not in past 30 days

f. Narcotics

Never used before driving
Yes, used before driving in past 30 days
Yes, used before driving, but not in past 30 days

68. For each substance category in the preceding question for which you answered “Yes,” how soon after using the substance did you start driving? If this occurred multiple times, please answer for the last time you used the substance within 24 hours of driving.

(Write in substance category from above)

Used the substance while driving

1-30 minutes before driving

31-59 minutes before driving

1-2 hours before driving

2-3 hours before driving

3-4 hours

______ 4-5 hours

______ 5-6 hours

______ More than 6 hours

69. For each substance listed below, in your opinion, if a teenage driver was an infrequent user of the substance, took enough of it to feel some effect, and then drove, how do you think it would affect that individual’s driving?

a. Marijuana

i. It would increase the quality of driving