Form NHTSA Form Number NHTSA Form Number Sensation Seeking and Driving Questionnaire

OMB Control Number: 2127-NEW
Expiration Date: XX/XX/XXXX
Under the Paperwork Reduction Act, a federal agency may not conduct or sponsor, and a person
is not required to respond to 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 2127-NEW (expiration
date: MM/DD/YYYY). The average amount of time to complete the survey is 15 minutes. All
responses to this collection of information are voluntary. If you have comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden send them to Information Collection Clearance Officer, National Highway
Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590.
Section G

INSTRUCTIONS: Please complete the following questions. There are no right or wrong answers,
everyone is an individual, just respond to the statement. For each statement, choose either true or false.
If you do not like either choice, mark the choice you dislike the least.
G1. I like doing things just for the thrill of it.

True

False

G2. I sometimes do "crazy" things just for fun.

True

False

G3. I enjoy getting into new situations where you can't predict how things will turn out.

True

False

G4. I'll try anything once.

True

False

G5. I would like the kind of life where one is on the move and traveling a lot, with lots of change and
excitement.

True

False

G6. I am an impulsive person.

True

False

G7. Before I begin a complicated job, I make careful plans.

True

False

G8. I very seldom spend much time on the details of planning ahead.

True

False

NHTSA Form 1497

OMB Control Number: 2127-NEW
Expiration Date: XX/XX/XXXX
G9. I tend to begin a new job without much advance planning on how I will do it.

True

False

G10. I usually think about what I am going to do before doing it.

True

False

G11. I often do things on impulse.

True

False

G12. I often get so carried away by new and exciting things and ideas that I never think of possible
complications.

True

False

G13. I tend to change interests frequently.

True

False

NHTSA Form 1497

OMB Control Number: 2127-NEW
Expiration Date: XX/XX/XXXX
Section I

The questionnaire below requires you to judge the
frequency of your own driving errors and violations.
For each item you are asked to indicate how often, if at all,
this kind of thing has happened to you. Base your
judgments on what you remember of your own driving over
the past year.
Please indicate your judgments by choosing the best
description of your behavior from the choices provided.
Never

Occasionally Sometimes

Nearly All the
Time

I1

Become impatient with a slow driver in the fast
lane and pass on the right









I2

Drive especially close to a car in front as a signal
to the driver to go faster or get out of the way









I3

Attempt to pass someone that you hadn’t noticed
to be making a left turn









I4

Forget where you left your car in a parking lot









I5

Turn on one thing, such as your headlights, when
you mean to switch on something else, such as
the windshield wipers









I6

Realize that you have no clear recollection of the
road along which you have just been traveling









I7

Cross an intersection knowing that the traffic lights
have already changed from yellow to red









I8

Fail to notice that pedestrians are crossing when
turning onto a side street from a main road









I9

Angered by another driver’s behavior, you catch
up to them with the intention of giving him/her “a
piece of your mind.”









I10

Misread the signs and turn the wrong direction on
a one-way street









I11

Disregard the speed limits at night or early in the
morning









I12

When turning right, nearly hit a bicyclist who is
riding along side of you









NHTSA Form 1497

OMB Control Number: 2127-NEW
Expiration Date: XX/XX/XXXX
Never

Occasionally Sometimes

Nearly All the
Time

I13

Attempting to turn onto a main road, you pay such
close attention to traffic on the road you are
entering that you nearly hit the car in front of you









I14

Drive after drinking, even though you realize you
might be over the legal blood alcohol limit

























I15
I16

Have an aversion to a particular class of road
user, and indicate your hostility by whatever
means you can
Underestimate the speed of an oncoming vehicle
when attempting to pass a vehicle in your own
lane

I17

Hit something when backing up that you had not
previously seen









I18

Intending to drive to destination A, you suddenly
find yourself on a road to destination B, perhaps
because destination B is a more common









I19

Get into the wrong lane approaching an
intersection









I20

Miss “Yield” signs, and narrowly avoid colliding
with traffic having the right of way









I21

Fail to check your rearview mirror before pulling
out, changing lanes, etc.









I22

Get involved in unofficial ‘races’ with other drivers









I23

Brake too quickly on a slippery road or steer the
wrong way into a skid









NHTSA Form 1497