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
SURVEY ON OCCUPANT PROTECTION: 1998
VERSION 1

SAMPLE READ-IN
Sample Type:

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.

IF SAMPLE TYPE EQ 2 ASK B

IF Q.2=YES AND Q.3=1 OR 2, ASK Q.8, ELSE GO TO Q.9

IF Q.7=MOTORCYCLE, SKIP TO Q.30, ELSE GO TO Q.9

IF Q9=1 OR 3 ASK Q14, ELSE GO TO Q15

IF Q9=2 OR 3 ASK Q15, ELSE GO TO Q16a

IF Q.14=1-4,6 OR Q.15=1-4,6 ASK Q.16a ELSE GO TO Q.19

ASK Q16b IF DON'T KNOW/REF IN Q16a, ELSE SKIP TO Q17

DELETED Q16c,Q16d,Q16e,Q16f.

IF Q.2=YES ASK Q.17 ELSE GO TO Q.19

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

IF MORE THAN ONE YES IN Q.21a-g, ASK Q.22, ELSE SKIP TO Q.23

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

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

IF MORE THAN ONE YES IN Q.23a-i, ASK Q.24, ELSE GO TO Q.25

DELETED Q27, Q28, Q29

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

IF MORE THAN ONE YES TO Q.33 ASK Q.34, ELSE GO TO Q.35

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

IF MORE THAN ONE YES IN Q.35a-i ASK Q.36, ELSE GO TO Q.37

DELETE Q.39

DELETED NQ45a AND NQ45b

DELETE Q.47

IF Q1=5 SKIP TO Q55a

IF YES IN NQ51 SKIP TO Q55b