Form NHTSA Form 1748 NHTSA Form 1748 In-Drive Questionnaire

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). Public reporting for this collection of information is estimated to be approximately 2 minutes per response, including the time for reviewing instructions, 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, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590

Trust Scale

Below is a list of statements for evaluating trust between people and automation. There are several scales for you to rate the intensity of your feeling of trust, or your impression of the system while operating a machine. Please select the value (1 – Not at all through 7 - Extremely) that best describes your feeling or your impression.

Scale: (Not at all) 1-2-3-4-5-6-7 (Extremely)

Define the system to which they were randomly assigned.

Situational: After each scenario event

1. I trust the automated vehicle in this situation

2. I would have performed better than the automated vehicle in this situation

3. In this situation, the automated vehicle performs well enough for me to engage in other activities (such as reading)

4. The situation was risky

5. The automated vehicle made an unsafe judgement in this situation

6. The automated vehicle reacted appropriately to the environment