Form 0920-20BY AttachmentD_LSH_Non-RespondentSurvey

Work Organization Risks to Short-haul Truck Drivers’ Health & Safety

AttachmentD_LSH_Non-RespondentSurvey

Non Respondent Questionnaire

OMB: 0920-1345

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Non-Respondent Survey


1) What is your gender?

  • Male

  • Female


2) What is your age range?

  • 18-30

  • 31-40

  • 41-60

  • >60


3) Are you Hispanic or Latino?

  • Yes

  • No


4) Which one or more of the following would you say is your race?

  • American Indian or Alaska Native

  • Asian

  • Black or African American

  • Native Hawaiian or Other Pacific Islander

  • White

  • Other (Please specify):______________


5) How many years have you worked as a truck driver?

  • 5 years or less

  • 6-10

  • 11-15

  • 16-20

  • More than 20 years


6) How many years have you worked as a local/short haul truck driver?

  • 5 years or less

  • 6-10

  • 11-15

  • 16-20

  • More than 20 years


7) What is your typical shift?

  • Days

  • Evenings

  • Nights

  • Rotating

  • Other (Please specify):___________








8) Reasons for not wishing to complete the survey (check all that apply)

  • Lack of time

  • Lack of interest

  • Lack of trust

  • Other (Please specify):___________


9) What is the highest level of education you have completed?

  • Some high school

  • High school graduate / GED

  • Some college or technical/vocational training

  • Associate degree

  • Bachelor’s degree

  • Graduate degree


10) Which of the following best describes your compensation as a LSH driver?

  • < $20,000

  • $20,001 - $30,000

  • $30,001 - $40,000

  • $40,001 - $50,000

  • $50,001 - $60,000

  • $60,001 - $70,000

  • $70,001 - $80,000

  • >$80,000


11) Do you have other paid employment?

  • Yes

  • No


12) If so, what is the nature of work for the second job?

  • Truck driver

  • Other (Please specify:__________

13) If so, approximately how many hours per week do you work at your second job?


Hours per week:__________





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMari-Amanda Dyal
File Modified0000-00-00
File Created2021-07-27

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