Form 1322 Impaired Driving Survey

OMB Control No. 2127-XXXX

Expiration Date XX/XX/XXXX

Appendix B

Impaired Driving Survey

Form 1322

Community Survey on Driving Safety and Law Enforcement

We would like to know your opinions and experiences about driving safety and law enforcement in Joplin, Missouri. Your participation will help improve services and safety in our community. Participation is voluntary and you can skip any question you like, but we encourage you to answer as many questions as possible.

1. Do you feel that law enforcement officers in Joplin are spending too much time, too little time, or about the right amount of time on traffic enforcement?

 Too much time  Too little time  About the right amount of time

2. In your opinion, is drunk driving a problem in Joplin?

 Yes If yes, how big a problem?  A big problem  A moderate problem  A small problem

 No

3. In Joplin, how likely is it that drivers who have had too much to drink will be arrested?

 Very likely  Somewhat likely  Not very likely  Don’t know

4. How much do you agree with the following statement: Police in Joplin are arresting more drunk drivers than they were a few months ago?

 Strongly Agree  Somewhat Agree  Somewhat Disagree  Strongly Disagree  Don’t know

If yes, where did you see or hear about it? (Check all that apply)

 Newspaper  Radio  TV  Billboards  Brochure  Social media

 Community meeting  Family/friends  Other (please list): _______________

5. In the past 30 days, have you seen or heard of any special efforts by police in Joplin to arrest drunk drivers?

 Yes

 No

6. How often do you think police should arrest drivers for drunk driving violations? On a scale of 1 to 5, where 1 means police should hardly ever arrest drunk drivers and 5 means police should arrest drivers at every opportunity when it comes to enforcing drunk driving laws.

 1 (Police should hardly ever arrest)

 2

 3

 4

 5 (Police should arrest at every opportunity)

7. How much do you agree or disagree with the statement “Police in Joplin should do more to stop drunk driving”?

 Agree strongly Agree  Neither agree not disagree  Disagree Disagree strongly

8. In the past month, have you driven a motor vehicle within 2 hours of drinking any alcoholic beverages?

 Yes  No

9. Have you ever been arrested for drunk driving?

 Yes  No

If yes, what kinds of contacts have you had with the police? (Check all that apply)

 Reported a crime

 Stopped for a traffic violation

 Car crash

 Casual conversation with a police officer

 Asked an officer for information or advice

 Working with police to solve specific problems

 Was involved in a community activity/meeting/event that involved the police

 Other (please list): _______________________________________

10. In the past 6 months, have you been in contact with the local police in Joplin for any reason?

 Yes

 No

11. In the past 6 months, has police officer presence in Joplin:

 Increased  Decreased  Stayed the same  I never see police in my community

12. In the past 6 months, what activities have you seen police conducting in Joplin?

(Check all that apply)

 Talking with residents in the community

 Talking with business owners in the community

 Attending community meetings

 Enforcing traffic laws

 Getting involved with kids through recreational or school activities

 Other (please list): ____________________________________________

 I have not seen any police activities in my community

Have you attended any of these meetings?

 Yes  No

13. In the past 6 months, have you heard about any meetings in Joplin to talk about drunk driving?

 Yes

 No

14. How much work are police doing with the residents of Joplin to stop drunk driving?

 A lot  Some  Very Little  Nothing at all  Don’t know

15. Your sex:  Male  Female

16. Your age:  Under 18  18-20  21-34  35-49  50-64  65 or older

17. What is your home zip code? ______________

18. Do you consider yourself Hispanic or Latino?  Yes  No

19. Your race: (Check all that apply)

 White  Black or African American  American Indian or Alaska Native

 Asian  Native Hawaiian or other Pacific Islander  Other

20. What level of school have you completed?

 Less than high school  High school graduate  Some college  College graduate

21. What type of vehicle do you usually drive?

 Car  Pickup truck  SUV  Van/Minivan  Motorcycle  Other  I rarely or never drive

22. If you have any other thoughts about police enforcement of drunk driving in Joplin, please provide them below:

Thank you for completing this survey! Please drop it in the box before you leave.

Note: This collection of information is voluntary and will be used for statistical purposes only so that we may develop and evaluate programs designed to reduce the number of traffic-related injuries and deaths. The public reporting burden is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Your participation is anonymous, and we will not collect any personal information that would allow anyone to identify you. Please note that 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 currently valid OMB control number. The OMB control number for this collection is # XXXX-XXXX.

NHTSA Form #1322