APPENDIX A1:
ENGLISH LANGUAGE
QUESTIONNAIRE
VERSION 1
|
SCHULMAN, RONCA AND BUCUVALAS, INC. 145 EAST 32ND STREET NEW YORK, NEW YORK 10016 |
STUDY NUMBER 7759 NOV. 06, 1998 OMB No. 2127-0596 Expiration Date:12/31/99 |
SAMPLE READ-IN
State: ____________ County: _____________________ Metro Status: _____
Date: ________________ CATI ID: ____________________
Interviewer:_________________________________________
Telephone Number: __________________________________________________________
Time Start: _____________ Time End: _____________ TOTAL TIME: ___________
____________________________________________________________________________
INTRODUCTION
Hello, I'm __________________ calling for the U.S. Department of Transportation. We are conducting a national study of Americans' driving habits and their attitudes about current driving laws. The interview is completely confidential.
DUMMY QUESTION FOR BIRTHDAY QUESTIONS
IF SAMPLE TYPE EQ 1, ASK A, ELSE ASK B.
Respondent is the person.................1 SKIP TO Q.1
Other respondent comes to phone..............2 SKIP TO D
Respondent is not available..............3 ARRANGE CALLBACK
Refused......................................4
IF SAMPLE TYPE EQ 2 ASK B
Yes..................1
No........................2 THANK AND SCREEN OUT
C. Could I speak to the person aged 16 to 39 years old living in your household who (has had the most recent/will have the next) birthday?
Respondent is the person...............1
Other respondent comes to phone............2
Respondent not available...............3 ARRANGE CALLBACK
Refused....................................4
D. Hello, I'm _______________ calling for the U.S. Department of Transportation. We are conducting a national study of Americans' driving habits and their attitudes about current driving laws. The interview is completely confidential. It takes fifteen to twenty minutes. Could we begin now?
D1. Would you please tell me why you do not want to do the interview?
Q1. How often do you drive a motor vehicle? Almost every day, a few days a week, a few days a month, a few days a year, or do you never drive?
Almost every day.................1
Few days a week.......................2
Few days a month.................3
Few days a year.......................4
Never............................5 SKIP TO Q.30
Other.................................6
Q.2 Not including driving to and from work, do you at least sometimes drive a vehicle as part of a job or business?
Yes...........................1
No.................................2 SKIP TO Q.6
Don't work....................3 SKIP TO Q.6
Q.3 How often do you drive a vehicle as part of a job or business? Almost every day, a few days a week, a few days a month, or a few days a year?
Almost every day..................1
Few days a week........................2
Few days a month..................3
Few days a year........................4
Q.4 Does your company or business have a policy requiring seat belt use when driving on the job?
Yes................................1
No......................................2 SKIP TO Q.6
Q.5a Is that a written policy?
Yes...................1
No.........................2
Q.5b How strictly does your company enforce its policy about wearing seatbelts? Is the policy enforced....
Very strictly.........1
Somewhat strictly..........2
Not too strictly......3
Not at all.................4 SKIP TO Q6
Q.5c How does your company enforce its seatbelt policy?
Q.6 Comparing your driving to other drivers, would you say you are average, better than average or below average?
Average..............................1
Better than average.......................2
Below average........................3
Q.7 Now I'd like you to think about all the driving you do (whether or not it's part of your job). Is the vehicle you drive most often a car, van, motorcycle, sport utility vehicle, pickup truck, or other type of truck? (NOTE: IF RESPONDENT DRIVES MORE THAN ONE VEHICLE OFTEN, ASK:) "What kind of vehicle did you LAST drive?"
Car...................................................1
Van or minivan............................................2
Motorcycle............................................3
Pickup truck..............................................4
Sport utility vehicle (Jeep/Explorer/Trooper/etc).....5
Other (specify _________________________________).........10
Other truck (SPECIFY _____________________________)...11
IF Q.2=YES AND Q.3=1 OR 2, ASK Q.8, ELSE GO TO Q.9
Q.8 Do you drive this vehicle only for work, only for personal driving or for both work and personal driving?
Only for work................................1
Only for personal use..............................2
For both work and personal driving...........3
IF Q.7=MOTORCYCLE, SKIP TO Q.30, ELSE GO TO Q.9
Q.9 For the next series of questions, please answer only for the (car/truck/van) you said you usually drive. Do the seat belts in the front seat of the (car/truck/van) go across your shoulder only, across your lap only, or across both your shoulder and lap?
INTERVIEWER INSTRUCTION: SEATBELT QUESTIONS REFER TO DRIVER-SIDE BELTS.
Across shoulder......................1 SKIP TO Q.12
Across lap................................2 SKIP TO Q.15
Across both..........................3
Vehicle has no belts......................4 SKIP TO Q.30
Q.10 Are the shoulder and lap belt one piece or are they two separate belts?
One piece..........................1 SKIP TO Q.12
Two separate belts.......................2
Q.11 Are both the shoulder and lap belt automatic, is only the shoulder belt automatic or is neither the shoulder or lap belt automatic?
Both are automatic......................1 SKIP TO Q.13a
Only shoulder is automatic....................2 SKIP TO Q.13a
Neither are automatic...................3 SKIP TO Q.13b
Q.12 Is the shoulder belt automatic or do you have to fasten it?
Automatic.....................1
Manual..............................2 SKIP TO Q.13b
Q.13a When you drive, do you always wear your automatic belt or is it ever disconnected, disabled, or placed behind you?
Always wear it....................1
Disconnected............................2
Disabled..........................3
Placed behind me........................4
Q.13b Shoulder belts are usually attached to the door or frame behind the driver's left shoulder. In some vehicles, this attachment can be moved up or down to adjust the shoulder belt. Is this attachment adjustable in your vehicle?
Yes, adjustable............1
No, not adjustable...........2 SKIP TO Q14
Not sure.............3 SKIP TO Q14
Q.13c Have you ever tried to adjust it?
Yes.........1
No..............2 SKIP TO Q14
Q.13d Were you able to make the shoulder belt more comfortable by adjusting it?
Yes.........................1
No .............................2
(VOL) Could not adjust it...3
IF Q9=1 OR 3 ASK Q14, ELSE GO TO Q15
Q.14 When driving this (car/truck/van), how often do you wear your shoulder belt... (READ LIST)
ALL OF THE TIME..................1
MOST OF THE TIME......................2
SOME OF THE TIME.................3
RARELY OR.............................4
NEVER............................5
IF Q9=2 OR 3 ASK Q15, ELSE GO TO Q16a
Q.15 When driving this (car/truck/van), how often do you wear your lap belt... (READ LIST)
ALL OF THE TIME..................1
MOST OF THE TIME.....................2
SOME OF THE TIME.................3
RARELY OR............................4
NEVER............................5
IF Q.14=1-4,6 OR Q.15=1-4,6 ASK Q.16a ELSE GO TO Q.19
Q.16a When was the last time you did NOT wear your seat belt (neither lap nor shoulder belt) when driving?
Today..................................1 \
Within the past week.......................2 |
Within the past month..................3 -- SKIP TO Q17
Within the past 12 months..................4 |
A year or more ago/I always wear it....5 /
ASK Q16b IF DON'T KNOW/REF IN Q16a, ELSE SKIP TO Q17
Q.16b Has there been any occasion in the past 12 months when you did not wear your seat belt (neither lap nor shoulder belt) when driving?
Yes...............1
No...................2
DELETED Q16c,Q16d,Q16e,Q16f.
IF Q.2=YES ASK Q.17 ELSE GO TO Q.19
Q.17 Are you more likely, less likely or just as likely to wear your seat belt when driving on the job as compared to when driving for personal use?
More likely......................1
Less likely............................2
Just as likely...................3 SKIP TO Q.19
Q.18 Why are you (more likely/less likely) to wear your belt when driving on the job? MULTIPLE RECORD
Company policy..................1
#hold................................2
#hold...........................5
#hold................................6
#hold...........................7
Other (SPECIFY)......................8
______________________________________________________
Q.19 In the past 12 months, has your use of seat belts when driving (car driven most often) increased, decreased, or stayed the same?
Increased........................1
Decreased..............................2 SKIP TO Q.21
Stayed the same..................3 SKIP TO Q.21
New driver.............................4 SKIP TO Q.21
Q.20 What caused the change? Was it because....
(READ LIST - MULTIPLE RECORD)
You became more aware of safety issues.................1
Of the seat belt law.......................................2
You didn't want to get a ticket........................3
You were in a crash........................................4
You got a new car which has automatic seat belts.......5
Other people encouraged or pressured you to use seat belts.6
#hold..................................................7
#hold......................................................8
Other..................................................12
______________________________________________________
IF RESPONDENT NEVER WEARS SEAT BELT IN Q.14/15 SKIP TO Q.23 ELSE GO TO Q.21
| YES | NO | NOT SURE | REFUSED | ||
| a. | IT'S A HABIT.................................. | 1 | 2 | 3 | 4 |
| b. | I DON'T WANT TO GET A TICKET.................. | 1 | 2 | 3 | 4 |
| c. | I'M UNCOMFORTABLE WITHOUT IT.................. | 1 | 2 | 3 | 4 |
| d. | OTHERS WANT ME TO WEAR IT..................... | 1 | 2 | 3 | 4 |
| e. | IT'S THE LAW.................................. | 1 | 2 | 3 | 4 |
| f. | I WANT TO AVOID SERIOUS INJURY................ | 1 | 2 | 3 | 4 |
| f2. | I WANT TO SET A GOOD EXAMPLE FOR OTHERS....... | 1 | 2 | 3 | 4 |
| f3. | THE PEOPLE I'M WITH ARE WEARING SEATBELTS..... | 1 | 2 | 3 | 4 |
21g. Are there any other reasons why you wear your seat belt?
Yes..........................1
No...............................2 SKIP TO Q22
IF YES, What other reasons (why you wear your seat belt)? _______________________________________________
IF MORE THAN ONE YES IN Q.21a-g, ASK Q.22, ELSE SKIP TO Q.23
Q.22 Of the following reasons you just gave me for wearing your seat belt, which is the most important? (READ LIST. SINGLE RECORD)
IT'S A HABIT................................1
I DON'T WANT TO GET A TICKET....................2
I'M UNCOMFORTABLE WITHOUT IT................3
OTHERS WANT ME TO WEAR IT.......................4
IT'S THE LAW................................5
I WANT TO AVOID SERIOUS INJURY..................6
I WANT TO SET A GOOD EXAMPLE FOR OTHERS.....7
THE PEOPLE I'M WITH ARE WEARING SEATBELTS.......8
OTHER (SPECIFY).............................9
___________________________________________
IF ALL THE TIME IN Qs 14/15 & Q.16a-b IS AT LEAST 1 YR SINCE DID NOT WEAR BELT SKIP TO Q.25 ELSE GO TO Q.23
Q.23 Please tell me if you agree or disagree with the following statements concerning your use of seat belts. Sometimes I do not wear my seat belt because... RANDOMIZE ORDER
| AGREE | DISAGREE | (VOL) NOT SURE |
(VOL) REFUSED |
||
| a. | I'M ONLY DRIVING A SHORT DISTANCE.... | 1 | 2 | 3 | 4 |
| b. | I'M DRIVING IN LIGHT TRAFFIC......... | 1 | 2 | 3 | 4 |
| c. | I'M IN A RUSH........................ | 1 | 2 | 3 | 4 |
| d. | I FORGOT TO PUT IT ON................ | 1 | 2 | 3 | 4 |
| e. | I DON'T WANT MY CLOTHES TO GET WRINKLED....................... |
1 | 2 | 3 | 4 |
| f. | THE SEAT BELT IS UNCOMFORTABLE....... | 1 | 2 | 3 | 4 |
| g. | THE PROBABILITY OF BEING IN A CRASH IS TOO LOW................. |
1 | 2 | 3 | 4 |
| h. | THE PEOPLE I AM WITH ARE NOT WEARING SEATBELTS.................. |
1 | 2 | 3 | 4 |
Q.23i Are there any other reasons why you sometimes do not wear your seat belt?
Yes..................1
No........................2
IF YES, What are they (other reasons for not wearing seatbelt)? __________________________________________________________
IF MORE THAN ONE YES IN Q.23a-i, ASK Q.24, ELSE GO TO Q.25
Q.24 Of the following reasons you just gave me for not wearing your seat belt, which is the most important? (READ LIST. SINGLE RECORD)
I'M ONLY DRIVING A SHORT DISTANCE...............1
I'M DRIVING IN LIGHT TRAFFIC.........................2
I'M IN A RUSH...................................3
I FORGET TO PUT IT ON................................4
I DON'T WANT MY CLOTHES TO GET WRINKLED.........5
THE SEAT BELT IS UNCOMFORTABLE.......................6
THE PROBABILITY OF BEING IN A CRASH
IS TOO LOW....................................7
THE PEOPLE I AM WITH ARE NOT WEARING SEATBELTS.......8
Q.25 Is there anything that you particularly dislike or find annoying about wearing your seat belt?
Yes...........................1
No.................................2 SKIP TO Q.29a
Q.26 What is it that you dislike or find annoying? Anything else?
Gave response ..........................1
Don't know/not sure/no answer.................2
DELETED Q27, Q28, Q29
Q29a. How many children age 15 or younger are living in your household at least half of the time or consider it their primary residence?
________ NUMBER (Range 0-8) NOT SURE/REFUSED=9
IF Q29a=0, 98, 99 SKIP TO Q30
Q29b. How old is (this child/the youngest child)?
______ AGE (Range=0-15) UNDER 1=0 NOT SURE=16 REFUSED=17
IF Q29b=0-12 ASK Q29c, ELSE SKIP TO Q30
Q29c. Think about all the times this child rode with you in the past thirty days, both with and without other passengers. About what proportion of those trips would you say that the child rode in the front seat? Would you say that in the past thirty days the child rode in the front seat... READ LIST AND SINGLE RECORD
Nearly all the time, that is 90% or more.....1
Most of the time..................................2
About half of the time.......................3
Some of the time..................................4
A few times, that is 10% or less.............5
Never.............................................6
Q29d. Compared to 12 MONTHS ago, is this child more likely to ride in the front seat when you drive, as likely to ride in the front seat, or less likely to ride in the front seat?
More likely to ride in front seat......1
As likely to ride in front seat.............2 SKIP TO Q30
Less likely to ride in front seat......3
Q29e. Why is this child (more/less) likely to ride in the front seat when you drive? DO NOT READ. MULTIPLE RECORD
Safer in back..........................1
Danger from airbags.........................2
Child prefers front....................3
Child prefers back..........................4
No other place for child in vehicle....5
Other (SPECIFY).............................6
Q.30 How often do you ride as a passenger in any kind of car, van or truck? Would you say...(READ LIST)
ALMOST EVERY DAY................1
A FEW DAYS A WEEK.....................2
A FEW DAYS A MONTH..............3
A FEW DAYS A YEAR OR..................4
NEVER...........................5 SKIP TO Q.40
Q.31 When you are a passenger, do you usually ride in the front seat or the back seat?
Front seat................1
Back seat........................2
Q.32a When riding as a passenger in the front seat how often do you wear your seat belt? (READ LIST)
ALL OF THE TIME................1
MOST OF THE TIME.....................2
SOME OF THE TIME...............3
RARELY OR............................4
NEVER..........................5
Q.32b When riding as a passenger in the back seat how often do you wear your seat belt? (READ LIST)
ALL OF THE TIME................1
MOST OF THE TIME.....................2
SOME OF THE TIME...............3
RARELY OR............................4
NEVER..........................5
IF Q.1 NE NEVER AND Q.7 NE MOTORCYCLE, SKIP TO Q40.
IF Q.1=NEVER AND Q.32a NE 1-4 AND Q.32b NE 1-4, SKIP TO Q.40.
IF Q.7=MOTORCYCLE AND Q.32a NE 1-4 AND Q.32b NE 1-4, SKIP TO Q.40,
ELSE ASK Q33.
| YES | NO | (VOL) NOT SURE |
(VOL) REFUSED |
||
| a. | IT'S A HABIT............................... | 1 | 2 | 3 | 4 |
| b. | I DON'T WANT TO GET A TICKET............... | 1 | 2 | 3 | 4 |
| c. | I'M UNCOMFORTABLE WITHOUT IT............... | 1 | 2 | 3 | 4 |
| d. | OTHERS WANT ME TO WEAR IT.................. | 1 | 2 | 3 | 4 |
| e. | IT'S THE LAW............................... | 1 | 2 | 3 | 4 |
| f. | I WANT TO AVOID SERIOUS INJURY............. | 1 | 2 | 3 | 4 |
| f2. | I WANT TO SET A GOOD EXAMPLE FOR OTHERS.... | 1 | 2 | 3 | 4 |
| f3. | THE PEOPLE I'M WITH ARE WEARING SEATBELTS.. | 1 | 2 | 3 | 4 |
Q.33g Are there any other reasons why you wear your seat belt?
Yes..........................1
No..................................2
IF YES, What other reasons (why you wear your seat belt)? _______________________________________________
IF MORE THAN ONE YES TO Q.33 ASK Q.34, ELSE GO TO Q.35
Q.34 Of the following reasons you just gave me for wearing your seat belt, which is the most important? (READ LIST. SINGLE RECORD)
IT'S A HABIT..................................1
I DON'T WANT TO GET A TICKET.......................2
I'M UNCOMFORTABLE WITHOUT IT..................3
OTHERS WANT ME TO WEAR IT..........................4
IT'S THE LAW..................................5
I WANT TO AVOID SERIOUS INJURY.....................6
I WANT TO SET A GOOD EXAMPLE FOR OTHERS.......7
THE PEOPLE I'M WITH ARE WEARING SEATBELTS..........8
OTHER (SPECIFY____________________________)...9
IF Q.32a=2-5 OR Q32b=2-5 THEN ASK Q.35, ELSE SKIP TO Q.37
| AGREE | DISAGREE | (VOL) NOT SURE |
(VOL) REFUSED |
||
| a. | I'M ONLY RIDING A SHORT DISTANCE......... | 1 | 2 | 3 | 4 |
| b. | I'M RIDING IN LIGHT TRAFFIC.............. | 1 | 2 | 3 | 4 |
| c. | I'M IN A RUSH............................ | 1 | 2 | 3 | 4 |
| d. | FORGET TO PUT IT ON.................... | 1 | 2 | 3 | 4 |
| e. | I DON'T WANT MY CLOTHES TO GET WRINKLED.. | 1 | 2 | 3 | 4 |
| f. | THE SEAT BELT IS UNCOMFORTABLE........... | 1 | 2 | 3 | 4 |
| g. | THE PROBABILITY OF BEING IN A CRASH IS TOO LOW............................... | 1 | 2 | 3 | 4 |
| h. | THE PEOPLE I AM WITH ARE NOT WEARING SEATBELTS............................... | 1 | 2 | 3 | 4 |
Q.35i Are there any other reasons why you sometimes do not wear your seat belt?
Yes..............................1
No..........................2
IF YES, What are they (other reasons for not wearing seatbelt)?
______________________________________________________
IF MORE THAN ONE YES IN Q.35a-i ASK Q.36, ELSE GO TO Q.37
I'M ONLY RIDING A SHORT DISTANCE...............1
I'M RIDING IN LIGHT TRAFFIC...........................2
I'M IN A RUSH..................................3
I FORGET TO PUT IT ON.................................4
I DON'T WANT MY CLOTHES TO GET.................5
WRINKLED............................................6
THE SEAT BELT IS UNCOMFORTABLE.................7
THE PROBABILITY OF BEING IN A
CRASH IS TOO LOW....................................8
THE PEOPLE I AM WITH ARE NOT WEARING SEATBELTS.9
Q.37 Is there anything that you particularly dislike or find annoying about wearing your seat belt?
Yes.....................1
No...........................2 SKIP TO Q.40
Q.38 What is it that you dislike or find annoying? Anything else?
Gave response...............................1
Don't know/not sure/no answer....................2
DELETE Q.39
Q.40 Now I'd like to ask your opinion about seat belt laws. How do you feel about laws that require drivers and front seat passengers to wear seat belts? Do you favor these laws a lot, do you favor them some or do you not favor these laws at all?
Favor a lot.......................1
Favor some.............................2
Not favor at all..................3 SKIP TO NQ.44a
Q.41 Do you think that seat belt laws should also apply to back seat adult passengers?
Yes.......................................1
No..............................................2
Depends on age of the passenger...........3
Q.42 Do you favor or oppose fines for drivers who do not wear seat belts?
Favor.............................1
Oppose................................2 SKIP TO Q.44
Q.43a What do you think the minimum fine should be for the first seat belt violation?
___________ AMOUNT OF FINE (Range 0-1000)
No fine/warning......0
Not sure (VOL).......1001
Q.43b What do you think the minimum fine should be for repeat seat belt violations?
___________ AMOUNT OF FINE (Range 0-1000)
No fine/warning......0
Not sure (VOL).......1001
Q.44 Do you favor or oppose receiving points against a license as a penalty for seat belt violations?
Favor...................................1
Oppose.........................................2
Depends on past violations..............3
NQ44a. I'd like you to think about someone you know who doesn't wear seatbelts all of the time. If that person were stopped and fined (AMOUNT OF FINE IN STATE) for not wearing seatbelts, would this person definitely wear seatbelts more often, probably wear seatbelts more often, or probably not change his or her seatbelt wearing habits?
Definitely wear more often..............................1
Probably wear more often....................................2
Probably not change seatbelt wearing habits ............3
Q.45 Suppose you get a ticket for not wearing your seat belt. Which of the following statements better describes your likely reaction?
I deserve the ticket because I broke the law, or...........1
I do NOT deserve the ticket because wearing a seat belt
should be a personal choice..............................2
DELETED NQ45a AND NQ45b
Q.46 The next questions are about seat belt laws in your state. Does (STATE) have a law requiring seat belt use?
Yes.........................1
No................................2 SKIP TO Q.48b
NQ47. Who is required to wear seatbelts according to your state law? Are (READ ITEM) required to wear seatbelts?
| YES | NO | NOT SURE | ||
| a. | Drivers................................. | 1 | 2 | 3 |
| b. | Children in the front seat.............. | 1 | 2 | 3 |
| c. | Children in the back seat............... | 1 | 2 | 3 |
| d. | Adult passengers in the front seat...... | 1 | 2 | 3 |
| e. | Adult passengers in the back seat ...... | 1 | 2 | 3 |
DELETE Q.47
Q.48a According to your state law, can police stop a vehicle if they observe a seat belt violation or do they have to observe some other offense first in order to stop the vehicle?
Can stop just for seat belt violation...........1
Must observe another offense first...................2
Q.48b In your opinion, SHOULD police be allowed to stop a vehicle if they observe a seat belt violation when no other traffic laws are being broken?
Should be allowed to stop.....1 SKIP TO Q.49
Should not........................2
Q.48c Most other traffic laws allow police to stop the vehicle whenever they see a violation. Why do you think seat belt violations should be treated differently from other traffic violations? DO NOT READ LIST. MULTIPLE RECORD
Don't pose a risk to others.........1
Not as serious a violation..............2
Police may abuse it.................3
Other (SPECIFY)
____________________________........7
IF Q1=5 SKIP TO Q55a
NQ49. In the past twelve months, since (MONTH) of last year, have you been stopped by police for any traffic-related reason while driving?
Yes.......................1
No.............................2 SKIP TO Q55a
NQ50. Were you wearing a seatbelt when you were stopped? (IF STOPPED MORE THAN ONCE IN PAST 12 MONTHS, ASK ABOUT MOST RECENT TIME)
Yes.......................1 SKIP TO NQ54
No...........................2
NQ51. Did you receive a ticket for violating seat belt laws?
Yes.......................1 SKIP TO NQ53
No...........................2
NQ52. Did you receive a warning for violating seat belt laws?
Yes.......................1
No...........................2
(VOL) Don't know..........3
(VOL) Refused................4
NQ53. Did you receive a ticket for some other traffic violation?
Yes.......................1 SKIP TO Q55a
No.............................2 SKIP TO Q55a
NQ54. Did you receive a ticket for any traffic violation?
Yes.......................1
No...........................2
(VOL) Don't know..........3
(VOL) Refused................4
IF YES IN NQ51 SKIP TO Q55b
Q.55a Have you ever received a ticket for not wearing seat belts?
Yes.......................1
No.............................2
IF YES IN NQ52 SKIP TO Q55c
Q.55b Have you ever received a warning for not wearing seat belts?
Yes.......................1
No.............................2
IF YES IN NQ51, NQ52, Q55a OR Q55b ASK Q55c, OTHERWISE SKIP TO Q56
Q55c. After you received the seatbelt (ticket/warning), did you start wearing your seatbelts more often, less often, or was there no change in how often you wore them?
Wore seatbelt more often.................1
Wore seatbelt less often.....................2
No change in how often wore seatbelt.....3
IF Q.1=NEVER SKIP TO Q.57 ELSE ASK Q.56
Q.56 Assume that you do not wear your seat belt AT ALL while driving over the next six months. How likely do you think you will be to receive a ticket for not wearing a seat belt? (READ LIST)
VERY LIKELY....................1
SOMEWHAT LIKELY......................2
SOMEWHAT UNLIKELY..............3
VERY UNLIKELY........................4
Q.57 How often do you think police should ticket for seat belt violations? On a scale of 1 to 10, where 1 means police should hardly ever give tickets and 10 means police should give tickets at every opportunity when it comes to enforcing seat belt laws, how strict should police enforcement be?
____________
(VOL) Don't know...............11
(VOL) Refused..........................12
NQ58. Now I'm going to read you a few statements Please tell me whether you strongly agree, somewhat agree, somewhat disagree, or strongly disagree.
| Strongly Agree |
Somewhat Agree |
Somewhat Disagree |
Strongly Disagree |
||
| ROTATE LIST | |||||
| a. | Seatbelts are just as likely to harm you as help you............. |
1 | 2 | 3 | 4 |
| b. | Police in my community generally do not bother to write tickets for seatbelt violations |
1 | 2 | 3 | 4 |
| PROBE FOR NOT SURE ON NQ58b:
"Based on what you have seen or have heard from others..." REREAD QX |
|||||
| c. | An accident close to home is usually not as serious as an accident farther away............... |
1 | 2 | 3 | 4 |
| d. | Even if parents don't wear seatbelts but require their children to wear them, then the children will almost always continue to wear seatbelts when they've grown up.................... |
1 | 2 | 3 | 4 |
| e. | If I were in an accident, I would want to have my seatbelt on ........ |
1 | 2 | 3 | 4 |
| f. | If a police officer wanted to stop a motor vehicle, that officer could always find a legal reason to stop it............................. |
1 | 2 | 3 | 4 |
| g. | I would feel self-conscious around my friends if I wore a seatbelt and they did not........................ |
1 | 2 | 3 | 4 |
| h. | I have a habit of wearing a seatbelt because my parents insisted I wear them when I was a child ............................ |
1 | 2 | 3 | 4 |
| i. | Medical insurance costs would be lower if more people wore seatbelts. |
1 | 2 | 3 | 4 |
| k. | Putting on a seatbelt makes me worry more about being in an accident............................ |
1 | 2 | 3 | 4 |
NQ58X. Has a seatbelt ever broken apart when either you or someone you know was using it?
Yes.................1
No.......................2
(VOL) Not sure......3
I'd like to ask you a few questions about speed limits.
Q.58 In general, do you think most highway speed limits are too low, too high or about right?
Too low...........................1
Too high...............................2
About right.......................3
(VOL) Don't know.....................4
(VOL) Refused...................5
Q.59 How about residential speed limits or those not on a highway? Do you think they are too low, too high or about right?
Too low..........................1
Too high...............................2
About right......................3
Q.60 Would you say the driving of most other drivers is...(READ LIST)
EXCELLENT...............1
VERY GOOD.....................2
GOOD....................3
FAIR OR.......................4
POOR....................5
IF Q.1=NEVER SKIP TO Q.64 ELSE ASK Q.61
Q.61 How often do you feel pressure from other drivers to go faster than the speed limit? (READ LIST)
VERY OFTEN..................1
OFTEN............................2
RARELY......................3
NEVER............................4
DELETED Q.62 AND Q.63
IF Q.1=NEVER SKIP TO Q.67 ELSE ASK Q.64
Q.64 Which statement best describes your highway driving. 1 > I TEND TO PASS OTHER CARS MORE OFTEN THAN OTHER CARS PASS ME, OR 2 > OTHER CARS TEND TO PASS ME MORE OFTEN
I tend to pass other cars more often than
other cars pass me......................1
Other cars tend to pass me more often.............2
(VOL) Neither, I drive the same as most
others..................................3
(VOL) I don't' drive on highways..................4 SKIP TO Q.67
(VOL) Don't know..............................5
(VOL) Refused.....................................6
(VOL) Both, that is, I tend to pass and others
tend to pass me.........................7
Q.65 In general, how fast do you drive on a highway with a posted
speed limit of 55 miles per hour?
________________ (Range=45-75) DON'T KNOW=77 REFUSED=78
DELETED Q.66a AND Q.66b
Q.67 I would like to switch subjects for a minute. Have you seen or heard any advertisements that use crash dummies?
Yes..........................1
No.................................2 SKIP TO Q.69
Q.68 Could you tell me what advice or message the crash dummies advertised? (DO NOT READ LIST -- MULTIPLE RECORD)
Commercial for a brand of car................1
Commercial for something else (e.g., toys)....2
Don't be a dummy.............................3
Wear seat belts/buckle up.......................4
Don't drink and drive........................5
Other (SPECIFY)_____________________________....10
Now I'd like to ask you a few questions about airbags.
IF Q.1=NEVER OR Q7=MOTORCYCLE, SKIP TO Q.72 ELSE ASK Q.69
Q.69 Does the (car/truck/van) you normally drive have an airbag?
Yes..........................1
No...............................2 SKIP TO Q.71
Q.70 Is the airbag for the driver only or is there also a passenger side airbag?
Driver only.......................1
Driver and passenger....................2
Q.71 If you are driving in a vehicle that has an airbag and you get into an accident involving major vehicle damage is it likely or unlikely that you would be injured?
Likely....................................1
Unlikely.......................................2
IF Q1=5 READ "passenger" and "riding" ELSE READ "driver" and "driving"
Q.72 Please tell me whether you agree or disagree with the following statement. If my car has a (driver/passenger) side airbag, I don't need to wear my seat belt when (driving/riding).
Agree...........................1
Disagree..............................2
Q.73 Based on what you know or have heard, what is the minimum speed a vehicle would have to be hit in order for an airbag to open up?
________________ MPH (Range=1-75) DON'T KNOW=77 REFUSED=78
Q.74 If a vehicle is hit FROM THE FRONT at a moderate speed, would you expect the airbag to open?
Yes............................1
No....................................2
Q.75 If a vehicle is hit FROM THE SIDE at a moderate speed, would you expect the airbag to open?
Yes.................................1
No.......................................2
Q.76a If a vehicle is hit FROM BEHIND at a moderate speed, would you expect the airbag to open?
Yes..........................1
No..................................2
Q.76b Would you prefer that your next vehicle have driver side airbags only, driver and passenger side airbags or no airbags?
Driver side only.....................1
Driver and passenger side................2
No airbags...........................3
Q.76c Do you have any concerns about the safety of airbags?
Yes.................1
No......................2 SKIP TO Q.76e
Q.76d What are those concerns (about the safety of airbags)?
_____________________________________________________
Q.76e In general, do you feel safer in motor vehicles with airbags, about the same, or less safe in vehicles with airbags than those without airbags?
Safer in vehicles with airbags...............1
About the same.....................................2
Less safe in vehicles with airbags...........3
DELETE Q.76F AND Q.77a AND Q.77b AND Q.77c
IF Q.1=NEVER SKIP TO Q.79 ELSE ASK Q.78a.
IF Q.1 NE NEVER AND Q7=3, SKIP TO Q78b
Now I'd like to ask you some questions about motorcycle use.
Q.78a Have you driven a motorcycle in the past 12 months?
Yes..........................1
No..................................2 SKIP TO Q.79
Q.78b How often do you wear a helmet when you drive a motorcycle? Would you say...(READ LIST)
ALL OF THE TIME...............1
MOST OF THE TIME....................2
SOME OF THE TIME..............3
RARELY OR...........................4
NEVER.........................5
Q.79 Do you favor or oppose mandatory helmet use laws for motorcyclists?
Favor.......................1
Oppose............................2
IF Q.78a=YES OR Q7=3, ASK Q.80. ELSE SKIP TO Q.81
Q.80 During the past 12 months, have you driven a motorcycle after drinking alcoholic beverages? (IF ASKED HOW LONG AFTER DRINKING, SAY:) When you probably still had alcohol in your system.
Yes..........................1
No..................................2
Q.81 During the past 12 months, have you RIDDEN as a passenger on a motorcycle?
Yes......................1
No.............................2 SKIP TO Q.83
Q.82 Did you wear a helmet the last time you rode as a passenger?
Yes.........................1
No...............................2
Q.83 Now I'm going to ask you a few questions about alcohol use. During the past 30 days have you had at least one drink of any alcoholic beverage, including liquor, beer, wine or wine coolers?
Yes.........................1 SKIP TO Q.85
No...............................2
Q.84 Did you drink any alcoholic beverages at all during the past 12 months?
Yes..........................1 SKIP TO Q.86
No.................................2 SKIP TO Q.90
Q.85 How many days out of the past 30 days did you drink alcoholic beverages?
____________(Range=0-30) NOT SURE=31 REFUSED=32
Q.86 On the average, how many drinks did you typically have on the days you drank?
_____________(Range=0-12) MORE THAN 12=13 NOT SURE=14 REFUSED=15
IF Q.1=NEVER OR Q.83=NO SKIP TO Q.90 ELSE ASK Q.87
Q.87 During the past 30 days, have you driven a vehicle after you had been drinking alcohol?
Yes.....................1
No............................2 SKIP TO Q.90
Q.88 How many days out of the past 30 days did you drive after drinking alcoholic beverages?
__________ (Range=0-30) NOT SURE=31 REFUSED=32
Q.89 In the past 30 days, have you driven a vehicle when you thought you might have consumed too much alcohol to drive safely?
Yes.......................1
No..............................2
Q.90 Have YOU ever been injured in a motor vehicle accident? Only count injuries that required medical attention.
Yes.......................1 SKIP TO Q.91
No.............................2
NQ.90a Have YOU ever been injured in a motor vehicle accident when you were a passenger, or have you ever been hit and injured by a motor vehicle when you were walking or riding a bike? Only count injuries that required medical attention.
Yes.......................1
No.............................2 SKIP TO Q.99c
Q.91 How many times has this happened to you?
______________________________ DON'T KNOW=98 REFUSED=99
DELETE Q92.
Q.93a How long ago did (that/the most recent) accident occur?
________________________ NUMBER OF YEARS AGO
WITHIN THE PAST YEAR=0 NOT SURE=98 REFUSED=99
DELETE Q.93b
Q.93c Were you a driver or a passenger in that accident?
Driver.............1
Passenger..............2
Pedestrian (VOL)...3
Bicyclist (VOL)........4
Other (SPECIFY)
______________.......5
IF Q.93c=PEDESTRIAN OR BICYCLIST, SKIP TO Q95
Q.94 Were you wearing your seat belt at the time of the accident?
Yes.................................1
No.......................................2
Q.95 At which of the following were you treated for your injuries? Were you treated at ...(READ LIST AND MULTIPLE RECORD)?
A hospital emergency room........1
A doctor's office....................2
A Clinic.........................3
The accident scene...................4
Somewhere else (SPECIFY).........5
______________________________
Did not need treatment.............6 SKIP TO Q.98a
Q.96 Were you transported from the accident scene by ambulance or helicopter?
Yes, ambulance (or rescue vehicle)...1
Yes, helicopter..........................2
No, neither..........................3
Q.97Were you hospitalized?
Yes.......................1
No.............................2 SKIP TO NQ97B
NQ97a. How long were you hospitalized?
______ DAYS (O-365) or HOURS ______ (1-23)
NQ97b. Did you receive any continuing or follow-up treatment for your injuries?
Yes.......................1
No.............................2 SKIP TO Q98a
NQ97c. Where did you receive this (follow-up) treatment? Was it at ...(READ LIST AND MULTIPLE RECORD)?
A doctor's office................1
A physical therapist.................2
A clinic.........................3
Somewhere else (SPECIFY).............4_____________________
NQ98a. Did your injuries from that accident prevent you from performing any of your normal activities (work, school, household) for at least a week?
Yes.......................1
No.............................2 SKIP TO Q.99a
Q.98b Were there any activities that you were unable to resume because of your injuries even a year after the accident?
Yes.......................................1
No.............................................2
Happened less than 1 year ago.............3
IF YES IN Q.98a OR Q.91=1, SKIP TO Q.99E
Q.99a Have you ever received injuries from a vehicle accident that prevented you from performing any of your normal activities (work, school, household) for at least a week?
Yes.......................1
No.............................2 SKIP TO Q.99c
Q.99b Were there any activities that you were unable to resume because of your injuries even a year after the accident?
Yes.......................................1
Happened less than 1 year ago.............3
(VOL) Not sure...............................4
(VOL) Refused...........................5
IF YES IN Q90 or NQ90a SKIP TO Q.99e
Q.99c Were you ever a driver or a passenger in a motor vehicle crash that involved death or injuries requiring medical attention?
Yes.......................1
No.............................2 SKIP TO Q.99e
DELETE Q.99d1 AND Q99d2 AND Q99d3
People have different beliefs about their own chances of survival in a crash.
Q.99e Do you agree or disagree that if it is your time to die, you'll die, so it doesn't matter whether you wear your seat belt?
Agree.........................1
Disagree............................2
Q.99f Do you agree or disagree that people have a choice to do what they can to avoid death and serious injury, so wearing a seat belt does matter?
Agree..........................1
Disagree..............................2
Q.100 Now I need to ask you some basic information about you and your household. What is your age?
__________ AGE REFUSED=99
Q.101a Including yourself, how many persons, AGE 16 OR OLDER, are living in your household at least half of the time or consider it their primary residence?
____________ IF NO OTHER ADULTS 16+, ENTER "0" REFUSED=99
IF Q29a NOT ASKED, THEN ASK Q101b, ELSE SKIP TO Q102
Q.101b How many children age 15 OR YOUNGER are living in your household at least half of the time or consider it their primary residence?
____________ NONE=0 REFUSED=99
Q.102 Do you consider yourself to be Hispanic or Latino?
Yes.......................1
No.............................2
Q.103 Which of the following racial categories describes you? You may select more than one? READ LIST AND MULTIPLE RECORD
American Indian or Alaskan Native........1
Asian........................................2
Black or African-American................3
Native Hawaiian or Other Pacific Islander....4
White....................................5
Other (SPECIFY)..............................6
__________________________________________
(VOL) Refused.........................9
Q.104 Are you married, divorced, widowed, separated or have you never been married?
Married...............................1
Divorced...................................2
Widowed...............................3
Separated..................................4
Never been married....................5
A member of an unmarried couple............6
Q.105a What is the highest grade or year of school you completed?
8th grade or less..........8
9th grade.......................9
10th grade.................10
11th grade......................11
12th grade/GED.............12
Some college....................13
College graduate or higher.14
Q.105b Which of the following categories best describes your total household income before taxes in 1997? (Includes the income of all persons in the household.) Was your total household income [READ LIST]
Less than $5,000.............1
$5,000 to $14,999..........2
$15,000 to $29,999...........3
$30,000 to $49,999.........4
$50,000 to $74,999...........5
$75,000 to $99,999.........6
$100,000 or more.............7
Q.106 Are you currently employed for wages, self-employed, out of work, a homemaker, a student, retired or unable to work? MULTIPLE RECORD
Employed for wages.......1
Self-employed.................2
Out of work..............3
Homemaker.....................4
Student..................5
Retired.......................6
Unable to work...........7
In order to better understand driver and rider characteristics, we'd like to ask you about your height and weight.
Q.107a About how tall are you without shoes?
_______ft. _______in.
Q.107b What is your weight?
___________ DON'T KNOW=998 REFUSED=999
Q.108 Not including beepers and pagers, do you have more than one telephone number in your household at which you normally can receive in-coming phone calls?
Yes...............1
No.....................2 SKIP TO Q.110
Q.109 How many different telephone numbers do you have at this residence at which you can normally receive incoming phone calls?
___________ 10 OR MORE=10 DON'T KNOW=11 REFUSED=12
Q.110FROM OBSERVATION, ENTER SEX OF RESPONDENT
Male..............1
Female..................2
That completes the survey.
Thank you very much for your time and cooperation.
TOP | PREVIOUS | NEXT | TABLE OF CONTENTS |