LA Rapid Assessment of Activities While Driving

This survey takes 1-3 minutes to complete.

We are doing a short survey on the type of activities people do while driving motor vehicles. Your responses to our questions will be kept strictly confidential, and we will not ask for your name, address, or telephone number. Your participation in this survey is voluntary and you can refuse to participate. Once you complete this survey, no one will contact you regarding your answers. Your answers will be kept confidential. They will be reported only as aggregate (combined) information and will not identify you. We thank you in advance for your participation.

Rapid Assessment of Activities While Driving

In the past 30 days have you driven a motor vehicle like a car, truck, SUV, or motorcycle? *YesNo

What stage of licensing are you currently in? *I haven’t started the licensing processI’m working on my Instructional PermitI have a Provisional LicenseI have a standard Driver’s License

If you are fully licensed, were you in a Driver’s Ed program? *YesNo

Are you driving a vehicle or using an app that has a monitoring device that your (parents/guardians) use to check your driving? *YesNoI don’t know

How long have you been driving a motor vehicle? *Less than one yearOne yearMore than one year

In the past 30 days, how often did you do these activities WHILE YOU WERE DRIVING?

Listen to a podcast, radio or other entertainment device? *Never (0 days)Rarely (1-5 days)Some days (6-14 days)Most days (15-29 days)Every time (30 days)

Use hands-free vehicle voice commands to make/answer calls, send/receive messages? *Never (0 days)Rarely (1-5 days)Some days (6-14 days)Most days (15-29 days)Every time (30 days)

Use phone to make/answer calls, send or receive emails/text messages? *Never (0 days)Rarely (1-5 days)Some days (6-14 days)Most days (15-29 days)Every time (30 days)

Play games on a cell phone or an electronic gaming system? *Never (0 days)Rarely (1-5 days)Some days (6-14 days)Most days (15-29 days)Every time (30 days)

Attend to personal grooming (e.g., apply makeup, shave, pluck eyebrows or brush hair)? *Never (0 days)Rarely (1-5 days)Some days (6-14 days)Most days (15-29 days)Every time (30 days)

Talk on your cell phone WITH a hands-free device (e.g. ear buds, speaker phone)? *Never (0 days)Rarely (1-5 days)Some days (6-14 days)Most days (15-29 days)Every time (30 days)

Now, please tell us about your experiences in a motor vehicle.

Have you ever been involved in a motor vehicle crash as a driver? *YesNo

Have you ever been injured because of a motor vehicle crash as a driver? *YesNo

Have you injured others in a motor vehicle crash? *YesNo

Have you ever received a warning or a traffic ticket for talking or texting on your cell phone while you were driving? *YesNo

As a driver, have you ever been in a crash while you were texting and/or talking on a cell phone? *YesNo

Have you ever been involved in a motor vehicle crash as a passenger? *YesNo

Have you ever been injured because of a motor vehicle crash as a passenger? *YesNo

Overall, I feel...

that I am a safe driver. *NeverSometimesMost of the timeAlways

that I am a safe passenger. *NeverSometimesMost of the timeAlways

Demographics

Age *

Describe your gender category or identity: *

Which County do you live in? *

Which race/ethnicity do you identify as? (Select all that apply) *WhiteHispanic/Latino or Spanish originBlack/African AmericanAsian/Pacific IslanderAmerican Indian or Alaskan NativeNative Hawaiian or other Pacific IslanderSome other racePrefer not to answer

Some other race; specify: *

What grade are you in? *

If you have any comments on the survey or the project, please leave a comment below.