OMB NO:
2126-XXXX
EXPIRATION DATE:
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 10 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.
SHARE THE ROAD SAFELY
INFORMATION COLLECTION SURVEY
TELEPHONE INTERVIEW INTRODUCTION
Hello, my name is [interviewer’s name] from [company name], and I am calling on behalf of the U.S. Department of Transportation. The Department is conducting a study to better understand drivers’ awareness of highway safety messages, particularly messages about cars and large trucks together on the road. We are conducting a brief survey of randomly selected households who have a licensed driver and would like to ask for your participation. The survey questionnaire will take approximately 10 minutes to complete and will be kept in strict confidentiality.
Can I speak to you or someone in your household that is a licensed driver?
IF the respondent is that person and agrees to take the survey, May we begin now?
If Yes, skip to Section I.
If No, record their information and arrange a call back.
IF another respondent comes to the phone, repeat first paragraph of Introduction [“Hello, my name…”], then skip to Section I.
IF another respondent is not available, record information and arrange a call back.
IF respondent does not want to participate, thank him/her and hang up [End Survey].
Section I
The U.S. Department of Transportation wants drivers of all types of vehicles to be aware of safe driving practices that can reduce the number of crashes involving cars and large trucks. The DOT has distributed and publicized information on these practices. Your response will help the DOT to provide drivers with the right safety information about cars and large trucks on highways.
After I read each question, please respond with “yes” or “no”, or select from the options that will be provided under each question to the best of your knowledge.
Are you aware that large trucks have driving limitations that make it more challenging to drive on the road?
Yes (Proceed to question 1a)
No (Skip to question 2)
1a) What do you think are some of the limitations? (Select all that apply)
Blind spots
Truck size/weight
Changing lanes
Merging with traffic
Driver skills
Stopping distances
Other____________________
1b) Where did you see or hear about these limitations?
Internet
On a truck
Brochures/Pamphlets
Radio
Television
Billboards
State Police/Highway Patrol
Driver education/training course
Local DMV office
Truck shows/safety seminars
Highway rest stop/information center
Truck stop
Gas station
Other __________________________________
Don’t know/don’t remember
1c) When you learned about them, did you change your driving behavior around trucks?
Yes (Proceed to question 1d)
No (Skip to question 2)
1d) If yes, what did you change? (Select all that apply)
I stay out of truck driver’s blind spots
I leave more space when passing
I leave more room to trucks that are turning
I don’t follow as closely
Other ____________________________________________
Have you read, seen, or heard of the phrase “Share the Road Safely”?
Yes (Proceed to question 2a)
No (Skip to question 3)
2a) What does the phrase mean to you? (Record response)
2b) What types of vehicles do you think “Share the Road Safely” applies to? (Select all that apply)
Passenger cars
Light trucks (including SUVs, vans, and pick up trucks)
Large trucks (trucks with gross weight rating over 10,000 lbs)
Buses (more than 9 passengers)
Motorcycles
Other________________
2c) Where did you read or hear about it? (Select all that apply)
Internet
On a truck
Brochures/Pamphlets
Radio
Television
State Police/Highway Patrol
Driver education/training course
Local DMV office
Truck shows/safety seminars
Highway rest stop/information center
Truck stop
Gas station
Other _______________________________
Don’t know/don’t remember
2d) Have you ever received any of the following materials related to “Share the Road Safely”? (Select all that apply)
Brochures/Pamphlets/Flyers
Bumper stickers
Other trinkets such as pens, magnets, and key rings
Other _______________________
Never seen any of these materials (Skip to question 3)
2e) If you received any of these materials, would you say you always, sometimes, or never? (Answer each)
Throw them away -Always -Sometimes -Never
File for future use -Always -Sometimes -Never
Pass along to interested party -Always -Sometimes -Never
2f) When you learned about “Share the Road Safely,” did it influence your behavior when driving in or around large trucks, buses and other vehicles?
Yes
No
Have you seen or heard of the phrases: “No Zone” or “Don’t Hang Out in the No Zone”?
Yes (Proceed to question 3a)
No (Skip to question 4)
3a) What do these phrases mean to you?
3b) Where did you see or hear about either of these two phrases? (Select all that apply)
Internet
On a truck
Brochures/Pamphlets
Radio
Television
State Police/Highway Patrol
Driver education/training course
Local DMV office
Fair/Exhibit
Highway rest stop/information center
Other _____________________________
Don’t know/don’t remember
3c) Have you ever received
any of the following materials related to “No Zone”?
(Select all that apply)
Brochures/Pamphlets
Bumper Stickers
Trinkets such as pens, magnets, and key rings
Other _______________________________________
Never seen any of these materials (Skip to question 4)
3d) If you received any of these materials, would you say you always, sometimes, or never? (Answer each)
Read materials right away -Always -Sometimes -Never
Throw them away -Always -Sometimes -Never
File for future use -Always -Sometimes -Never
Pass along to interested party -Always -Sometimes -Never
3e) When you learned about “No Zone,” did it influence your behavior when driving in or around large trucks and vehicles?
Yes
No
Are you aware of any Federal, State or local programs that provide safety information to the public about driving safely around large trucks?
Yes (Proceed to question 4a)
No (Skip to question 5)
4a) If yes, please list the program(s) you have heard about?
In your opinion, what do you think is the most effective way to change the public’s behavior about driving around large trucks? (Select all that apply)
Highway Patrol/Traffic Enforcement
Educating the public on the impacts of crashes involving large trucks
Educating the public on the limitations of driving a truck from the driver’s perspective (e.g., blind spots, stopping distance)
Promoting general safety messages/outreach
Other ____________________________________________________
5a) In your opinion, how effective are the following outreach methods in changing the public’s behaviors? (Please select the methods first, then rate each on whether the method is very effective, somewhat effective, or not effective)
Television -Very Effective -Somewhat Effective -Not Effective
Radio announcements -Very Effective -Somewhat Effective -Not Effective
Billboards on Highways -Very Effective -Somewhat Effective -Not Effective
Information brochures -Very Effective -Somewhat Effective -Not Effective
Driver’s Ed -Very Effective -Somewhat Effective -Not Effective
Trinkets (e.g., bumper -Very
Effective -Somewhat Effective -Not Effective
stickers,
pencils, key rings)
Highway
Patrol Enforcement -Very Effective - Somewhat Effective -Not
Effective
Other_________________ -Very Effective -Somewhat
Effective -Not Effective
Section II: Respondent Demographics
This section contains a few questions on demographics for research purposes only. Please answer each of the following items as accurately as possible. We assure you that your responses are strictly confidential and will not be shared with anyone. Your answers will be combined with the answers from other survey respondents. We will only report summary statistics, not individual responses.
Which of the following categories best describes your ethnicity? (Select all that apply)
American Indian or Alaska Native
Asian or Pacific Islander
Black or African American
Hispanic/Latino
White (Non-Hispanic)
What is the highest level of education completed?
Less than high school diploma
High school graduate
Some college
College graduate
Post graduate or professional degree
What is your total annual household income?
Less than $20,000
$20,000 – $39,999
$40,000 – $59,999
$60,000 – $99,999
$100,000 – $149,999
$150,000 – $199,999
$200,000 or more
How many years have you been driving?
Less than 5 years
5 – 10 years
11 – 20 years
21 – 30 years
31 – 40 years
41 – 50 years
51 – 60 years
61+ years
What is your age group?
Under 18
18 – 20 years old
21 – 24 years old
25 – 34 years old
35 – 44 years old
45 – 54 years old
55 – 64 years old
65 – 79 years old
80+ years old
What vehicle do you drive? (Select all that apply)
Passenger cars
Light trucks (including SUVs, vans, and pick up trucks)
Large trucks (trucks with gross weight rating over 10,000 lbs)
Buses (more than 9 passengers)
Motorcycle
Other_______________________
11a) Do you drive a commercial vehicle requiring a CDL license??
Yes
No
How many miles do you drive on the road per year?
Less than 5,000 miles
5,000 – 10,000 miles
10,001 – 20,000 miles
20,001 – 50,000 miles
50,001+ miles
What state issued your driver’s license?
_____________________________________
13a) How much time per week do you drive in your home state?
Less than 25%
25%-50%
More than 50%
From observation, record gender of respondent. If unable to determine, ask: What is your gender?
Male
Female
This concludes our survey. We appreciate your help and encourage you to look for U.S. Department of Transportation safety messages. Thank you for your participation.
A-
File Type | application/msword |
File Title | OMB NO: 2126-XXXX |
Author | herman.dogan |
Last Modified By | herman.dogan |
File Modified | 2007-07-23 |
File Created | 2007-07-23 |