OMB Control Number: 2016XX-2127-XXX
Expiration Date: XX/XX/XXXX
Awareness & Availability of Child Passenger Safety Information Resources
Survey
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 XXXX-XXXX (expiration date: MM/DD/YYYY). The average amount of time to complete this 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.
[In this section for questions 1-1 – 1-5 a specific selection will be made from the screener – it will be of the child riding most frequently (S14) who is still riding in a car seat (S15, Responses A, B, C, D, E) – NOTE in cases in which there is more than one child riding in car seats at the same frequency the selection will be random using a pre-generated random number]
1-1. How did you get the [fill in car seat type] that [child name] rides in?
Purchase
As a loan
As a gift
Provided by parents
Other, Specify:__________
1-2. Was the [fill in car seat type] new or used when you got it?
New
Used
Don’t know
1-3. How confident are you that this [fill in car seat type] is attached correctly?
Extremely confident (Go to 1-4)
Very confident (Go to 1-4)
Moderately Confident (Go to 1-4)
Slightly confident (Go to 1-5)
1-4. Why are you [fill in response from 1-3 extremely, very, moderately] confident that this [fill in car seat type] is attached correctly?
(Check all that apply.)
I followed the instructions
It seems right
I followed a video
Someone helped me attach the seat
I check the car seat often
Other, Specify: _________
[All options go to 1-6]
1-5. Why aren’t you confident that this [fill in car seat type] is attached correctly?
(Check all that apply.)
The instructions were very complicated.
It seems wrong.
It seems too loose.
Someone told me the seat was not attached correctly.
Other, Specify: _________
1-6. How frequently do you move this [fill in car seat type] [[for infant seats] including the base] in and out of the vehicle?
Every day
Almost every day
A few days a week
A few days a month
A few days a year
Never
1-7. To you, is it acceptable or not acceptable for a child to not ride in a car seat when…
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Acceptable |
Not Acceptable |
A. Going only a short distance? |
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B. Riding in a taxi cab? |
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C. The child is sleeping? |
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D. Riding in an Uber, Lyft, or other Rideshare? |
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E. The child is fussy and complaining? |
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F. You’re in a rush to get somewhere? |
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G. Riding in a carpool? |
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H The child does not fit in the car seat? |
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1-8. In the event of a low speed (30 mph or less) crash, how useful will your [fill in car seat type] be in preventing [fill with child’s name] from being injured?
Extremely useful
Very useful
Moderately useful
Slightly useful
Not at all useful
1-9. If your [fill in car seat type] is not used correctly, how likely is it that [fill in child’s name] would be injured in a crash?
Very likely
Somewhat likely
Neither likely nor unlikely
Unlikely
Very unlikely
[In this section a specific selection will be made from the screener – it will be of the child riding most frequently who is still riding in a car seat (responses to S14 and S15)]
2-1. Who has attached the [fill in car seat type] used by [child name] to your vehicle?
(Check all that apply.)
I have
Spouse/Partner
Daughter/Son
Another relative
Friend
Person formally trained in car seats
Other, Specify: _________
[Only if A – “I have” – to 2-1, if in 2-1 response option A not selected go to Section 3]
2-2. Which of the following did you do the first time you attached this [car seat type] in your vehicle?
(Mark one response for each row)
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Yes |
No |
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2-3. The first time you attached this [car seat type] and buckled [child name] in, how confident were you that you did it right?
Extremely confident
Very confident
Moderately confident
Slightly confident
Not at all confident
For the next three questions, please think about your [car seat type].
2-4. Compared to assembling a crib, attaching the [car seat type] to a vehicle is...
Easier
About the same
Harder
2-5. Compared to adjusting a stroller, attaching the [car seat type] to a vehicle is...
Easier
About the same
Harder
2-6. Compared to changing a tire, attaching the [car seat type] to a vehicle is...
Easier
About the same
Harder
Please consider all your experiences when searching for information about any car seats, for any child.
3-1. What information have you looked for about car seats for children? By car seats please consider all types, including booster seats.
(Check all that apply.)
How to attach my car seat (Go to 3-2)
When my child will outgrow the car seat
When to move to the next car seat
How to buckle my child in the car seat
What kind of car seat to buy
Costs of car seats
Why a car seat is needed
Ratings or reviews of car seats
Recalls of car seats
Car seat laws or fines
Other, Specify:_______
I have never looked for any information on car seats for children (Go to Section 4)
[Respondents who answered in 3-1 A.]
3-2. What information about attaching a car seat were you looking for?
(Check all that apply.)
Which direction the seat should face
Which seat in the car to attach it to
Using LATCH – lower anchors and/or the top tether
Which vehicles are suitable for the car seat
Steps for attaching the car seat
Weight and height restrictions
Other, Specify: ________
3-3. Did you get the information you were looking for about child car seats from…
(Mark one response for each row)
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Yes |
No |
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Many counties or communities have car seat inspections: People who have been formally trained on car seats and child passenger safety, check whether the seats are attached to the vehicle and children are buckled up correctly.
4-1. Before today, had you ever heard of these car seat inspections that provide help on how to attach a car seat?
Yes
No (Go to 4-10)
4-2. How did you find out about these car seat inspections?
(Check all that apply.)
Obstetrician, OB/GYN
Pediatrician
TV or Radio
Local paper
Friend
Family member
Social Worker
Birthing Classes
Social media, mobile apps, website
Drove by a location that offers these services
Childcare or parenting class
Saw a sign
Other, Specify: _________________
4-3. Are car seat inspections available in your area?
Yes
No
Don’t know / Not sure
4-4. Have you ever gotten any help at a car seat inspection from someone who has formal training? Please consider help you received for seats for any child you drive with now or in the past.
Yes
No (Go to 4-8)
[If R selects “Yes” show instruction]: Please answer the following questions about the most recent time you got help at a car seat inspection from someone who has formal training.
4-5. Where did you get the car seat inspection?
State or County Agency
Hospital
Other Medical Facility
Fire Station
Police Station
Car Seat Check Event
Car Dealership
Retail Store
Church
At a location for the Safe Kids Organization
At my home or a friend’s home
Other, Specify: _______________________
4-6. Which of the following led you to get help at a car seat inspection?
(Check all that apply.)
Expected birth of a child
Got a different car seat
Got a different vehicle
Needed to move a child to a new seat
Expected someone else would drive with my child
Expected driving with a child passenger
I just wanted to be sure the car seat was attached correctly
Other, Specify: _______________
4-7. Why did you decide to get help at a car seat inspection?
(Check all that apply.)
Someone recommended the service
The instructions for the car seat were confusing
I wasn’t sure I attached it right
I felt it was important to get this service
I saw an advertisement for this service
Other, Specify: ______
4-8. Do you know anyone else who has gotten help at a car seat inspection?
Yes (Go to 4-9)
No (Go to Section 5)
4-9. Who else do you know got help at a car seat inspection?
(Check all that apply)
A friend
A family member
A child care provider
Other, Specify: ______________
[If A – “Yes” – to 4-4 go to Section 5]
4-10. Why didn’t you ever get help at a car seat inspection?
(Mark one response for each row)
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Yes |
No |
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[All options for 4-10 go to Section 6]
[This section is only if A – “Yes” – to 4-4]
5-1. How many times did you get help at a car seat inspection from someone who had formal car seat training? Please consider all seats and all children you have driven.
Only one time
More than one time
I don’t know
[If R selects “More than one time” show instruction]: Please answer the following questions about the most recent time.
5-2. How long ago did you get help at a car seat inspection?
Less than 30 days ago
30 days to less than 6 months ago
6 to 12 months ago
More than 12 months ago
I don’t know
5-3. What type of car seat(s) did you get help with?
(Check all that apply.)
Infant Seat
Rear Facing Seat
Forward Facing Seat
High back Booster
Low Back Booster
[Will include images -- along with names of seats]
5-4. Did you call to set up an appointment for the car seat inspection?
Yes
Someone else set up the appointment
No appointment was necessary (Go to 5-6)
5-5. How many days were you told you needed to wait for an appointment?
____ days (up to 3 digits)
Don’t Know
5-6. What was the charge for the car seat inspection?
$__.00 (up to 3 digits)
No charge
Request for donation
Don’t know/Don’t remember
5-7. How many miles away is the nearest location offering car seat inspection?
__ miles
5-8. How many minutes did it take to drive to the location where you received a car seat inspection?
Under 15 minutes
15-30 minutes
Over 30 minutes
I got help at home
Don’t know
5-9. What type of help did you receive?
(Check all that apply.)
Instruction in attaching the seat to the vehicle
Instruction in buckling the child in the seat
Checking car seat for recalls
Checking car seat for the expiration date
Educational materials on child safety
Information about the next car seat stage for the child
Practice installing it myself
Other, Specify: _________
5-10. After receiving a car seat inspection, how comfortable were you with attaching the seat and securing your child in it on your own?
Extremely comfortable
Very comfortable
Moderately comfortable
Slightly comfortable
Not at all comfortable
5-11. Overall, how satisfied were you with the service you received?
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
5-12. Would you consider getting additional help at a car seat inspection?
Yes (go to 5-13)
No (go to 5-14)
5-13. Under which of the following conditions would you consider getting additional help at a car seat inspection?
(Check all that apply.)
Driving a different vehicle
Changing to a different seat
Driving a different child
Having a substitute or temporary driver for a child
Other, Specify: ___________
[Continue to Section 6]
5-14. Why wouldn’t you consider getting additional car seat help?
(Check all that apply.)
The child[ren] [is/are] too old now
I already know how to install a seat
The service takes too long
You need to set up an appointment in advance
It is too far away
The car seat inspection costs money
I wasn’t satisfied with my previous experience
I learned all I needed to know from my previous experience
Other, Specify: __________
[All responses go to Section 6]
6-1. Which of the following would be the best locations for you to get car seat inspections? (Check all that apply)
Child care provider/school
Department of Motor Vehicles (DMV)
Doctor’s office
Vehicle Dealership
Social services
Women, Infant and Children (WIC) Program
Hospital
Emissions inspection
Places car seats are sold
Community center
Police station
Firehouse
Other, Specify: _____
6-2. Which one of the following services is most important to you to have at an inspection location?
Playground/play area
Food services
Carwash
Oil Change
Car seat sales
Other, Specify: _____
6-3. Which one of the following is most important to you at a car seat inspection?
No appointments necessary
Parent education services
Help with other child safety topics
Different language options
Other, Specify: _____
6-4. Which of the following might prevent you from using a car seat inspection?
(Mark one response for each row)
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Yes |
No |
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6-5. Which one of the following is most likely to keep you from using a car seat inspection?
(Check one.)
Based on selections from questions 6-4, a subset of response options will be provided here. Specifically, any item with a response of “Yes” will be listed as a response option for this question. Note if all response options are “No” or only one response option is “Yes” in 6-4, this question is skipped.
7-1. In your state, there is…
A Car Seat law
A Booster Seat law
Both a Car Seat and a Booster Seat law
Neither
I don’t know
Where you drive, how much is the fine for driving with a child who is not buckled in a car seat according to the local law?
Up to $25
$26 to $50
$51 to $100
Over $100
I don’t know
7-3. Are you of Hispanic or Latino origin?
Yes
No
I don’t know
7-4. What is your race?
(Check all that apply)
White
Black of African American
Asian
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
I don’t know
7-5. What is the highest level of education you have completed?
Less than 12th grade
High school diploma or GED
Some college or associates degree
Bachelor’s degree
Graduate degree or professional degree
I don’t know
7-6. How old are you?
Enter Number
7-7. Are you male or female?
Male
Female
I prefer not to answer
7-8. Was your annual household income from all sources in 2016?
Less than $25,000
Greater than $25,000 but less than $35,000
Greater than $35,000 but less than $50,000
Greater than $50,0000 but less than $75,000
$75,000 or more
NHTSA Form Number 1334
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Sharon Levi |
File Modified | 0000-00-00 |
File Created | 2021-01-23 |