Telephone (CATI) Survey
Section D
Personal Motor Vehicle Ownership and Use
D1. My next questions are about the use and ownership of personal motor vehicles,
such as cars, trucks, vans, SUVs, motorcycles, and RVs.
[PRESS ENTER TO CONTINUE.]
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PROGRAMMER NOTE:
IF THE SUBJECT IS UNDER 15, GO TO PROGRAMMER NOTE BEFORE D6A. ELSE CONTINUE.
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D2. {Do you/Does NAME/AGE/SEX OF HHM} currently drive a car or other motor vehicle?
(DRIVER)
[INTERVIEWER NOTE: DOES NOT INCLUDE PEOPLE WHO HAVE A LICENSE BUT DO NOT DRIVE.]
YES 1
NO 2 GO TO PROG. BEFORE D6A
REFUSED -7 GO TO PROG. BEFORE D6A
DON'T KNOW -8 GO TO PROG. BEFORE D6A
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PROGRAMMER NOTE:
RANGE FOR D3 IS 1 TO 7 AND 8
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D3. On average, how many days per week {do you/does NAME/AGE/SEX OF HHM} drive?
(DRIVFREQ)
NUMBER OF DAYS/WEEK |__|
LESS THAN ONE DAY/WEEK 8
REFUSED -7
DON'T KNOW -8
D4. People sometimes limit or restrict their driving in different ways.
{Do you/Does NAME/AGE/SEX OF HHM} usually . . .
(a) Drive less often than {you/(he/she)} used to?
(DRIVLESS) |
1 |
2 |
-7 |
-8 |
|
(b) Avoid driving at night?
(ATNIGHT) |
1 |
2 |
-7 |
-8 |
|
(c) Drive less in bad weather?
(BADWEATH) |
1 |
2 |
-7 |
-8 |
|
(d) Avoid high-speed roads and highways?
(FASTHWY) |
1 |
2 |
-7 |
-8 |
95 |
(e) Avoid busy roads and intersections?
(BSYROAD) |
1 |
2 |
-7 |
-8 |
95 |
(f) Drive slower than the posted speed limits?
(DRIVSLOW) |
1 |
2 |
-7 |
-8 |
95 |
(g) Avoid left-hand turns?
(NOLEFTS) |
1 |
2 |
-7 |
-8 |
|
(h) Avoid driving during rush hour?
(NORUSHHR) |
1 |
2 |
-7 |
-8 |
95 |
(i) Avoid driving on unfamiliar roads or to unfamiliar places?
(NONEWPLC) |
1 |
2 |
-7 |
-8 |
|
(j) Avoid driving distances of over 100 miles?
(NOLDTRP) |
1 |
2 |
-7 |
-8 |
|
D5. In terms of {your/ NAME/AGE/SEX OF HHM's} driving ability, please tell me if
each of the following is now worse, the same, or better than it was five years ago.
How about {your/his/her}.
(a) Eyesight or Night vision?
(EYESIGHT) |
1 |
2 |
3 |
-7 |
-8 |
(b) Attention span?
(ATNSPAN) |
1 |
2 |
3 |
-7 |
-8 |
(c) Hearing?
(HEARING) |
1 |
2 |
3 |
-7 |
-8 |
(d) Coordination?
(CORDNATE) |
1 |
2 |
3 |
-7 |
-8 |
(e) Reaction time to brake or swerve?
(REACTIM) |
1 |
2 |
3 |
-7 |
-8 |
(f) Depth perception?
(DPTHPERC) |
1 |
2 |
3 |
-7 |
-8 |
D6. Some people decide to give up driving at some point. Under what circumstances
would {you/NAME/AGE/SEX OF HHM say {you/he/she} would} consider giving up driving?
[ PROBE WITH: Anything else?]
(NODRIV1 THROUGH NODRIV15)
[CODE ALL THAT APPLY UP TO 9. USE CTRL/P TO EXIT.]
NEVER PLAN TO GIVE UP DRIVING 1
OTHER TRANSPORTATION WAS AVAILABLE 2
CANNOT PASS THE DRIVER'S LICENSE RENEWAL PROCESS 3
CAUSE A CRASH, ACCIDENT, INJURY OR OTHER INCIDENT 4
INVOLVED IN A CRASH, ACCIDENT OR OTHER INCIDENT 5
DOCTOR SAYS TO STOP DRIVING 6
FAMILY/FRIEND NEIGHBOR CONVINCES TO STOP DRIVING 7
POLICE OFFICER/LAW ENFORCEMENT AUTHORITY ADVISES TO STOP DRIVING 8
FEEL THAT I CANNOT OPERATE A VEHICLE SAFELY 9
WHEN REACH A CERTAIN AGE 10
EYE SIGHT DECLINES 11
HEARING DECLINES 12
OTHER PHYSICAL LIMITATIONS E.G., ARTHRITIS 13
OTHER MENTAL LIMITATIONS E.G., ALZHEIMER'S DISEASE 14
OTHER 15
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
ASK QUESTIONS D6A, D7 and D8 JUST ONCE FOR EACH HH.
RANGE FOR D6A IS 0 TO 10.
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D6A. How many personal motor vehicles, such as cars, trucks, vans, SUVs, motorcycles
and RVs, are owned or leased by anyone in your household?
(TOTVEHI)
NUMBER OF VEHICLES |__|__|
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF D6A IS 0, GO TO D19.
Else continue.
ASK QUESTIONS D7 AND D8 JUST ONCE FOR EACH HH.
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D7. Are any of the vehicles owned or leased by household members modified with adaptive
devices or equipment for use by persons with disabilities?
(MODVEHI)
YES 1
NO 2 GO TO NEXT PROG. NOTE AFTER D8
REFUSED -7 GO TO NEXT PROG. NOTE AFTER D8
DON'T KNOW -8 GO TO NEXT PROG. NOTE AFTER D8
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PROGRAMMER NOTE:
RANGE FOR D8 IS 1 TO 10.
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D8. How many vehicles are modified?
(NUMMOD)
NUMBER OF MODIFIED VEHICLES |__|__|
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF D8 IS MORE THAN D6A, DISPLAY: "I have recorded that your household has {INSERT NUMBER
FROM D6A} {vehicle / vehicles. How many of these vehicles are modified?" IF D6A IS
1, DISPLAY "vehicle;" IF D6A IS MORE THAN ONE, DISPLAY "vehicles."
IF D8 IS MORE THAN D6A ON THE 2ND ROUND, VERIFY ENTRY AND CORRECT D6A BY CODING
TO MATCH D8 AS NEEDED.
IF THE HH DOES NOT HAVE ANY MODIFIED VEHICLES (D7 IS NOT EQUAL TO 1) GO TO D19.
ELSE, CONTINUE BELOW.
IF THE RESPONDENT WAS NOT ASKED D6A, D7 AND D8, INSERT THE FOLLOWING INTRODUCTION
BEFORE D9. "I have recorded that your household has {a vehicle/vehicles} modified
with adaptive devices or equipment for persons with disabilities."
IF THE SUBJECT IS UNDER 15, AFTER THE INTRO IN THE 3RD PARA ABOVE, D9 SHOULD SAY:
"Does { NAME/AGE/SEX OF HHM} ever ride in {this vehicle/a modified household
vehicle}?
IF D8 IS 1, USE THE 1ST DISPLAY IN D9. ELSE, USE THE 2ND DISPLAY. REFERS TO
{this vehicle/a modified household vehicle}
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D9. {Do you/Does NAME/AGE/SEX OF HHM} ever drive or ride in {this vehicle/a modified
household vehicle}?
(EVERUSE)
YES 1
NO 2 GO TO D19
REFUSED -7 GO TO D19
DON'T KNOW -8 GO TO D19
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PROGRAMMER NOTE:
IF D8 IS 1 (MODIFIED VEHICLE) ASK THE FOLLOWING QUESTIONS ONCE PER HH:
D10, D11, D12, D13, D14.
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D10. What type of modified household vehicle {do you/does NAME/AGE/SEX OF HHM}
use most frequently?
(VEHTYPE)
CAR/STATION WAGON 1
SUV 2
FULL-SIZED VAN 3
MINI VAN 4
PICKUP TRUCK 5
RV 6
MOTORCYCLE/MOPED 7
OTHER 8
REFUSED -7
DON'T KNOW -8
D11. Is the vehicle modified . . .
(MODTYPE)
for the driver, 1
passengers or 2
both? 3
REFUSED -7
DON'T KNOW -8
D12. Does the vehicle have:
(a) Accelerator/braking system modifications?
[IF NEEDED: PEDAL EXTENDERS/LEVERS, REDUCED/ZERO EFFECT BRAKES, LEFT-FOOT ACCELERATOR,
POWERED HAND BRAKE CONTROL, MECHANICAL HAND CONTROLS]
(ACCBRAKE) |
1 |
2 |
-7 |
-8 |
(b) Air bag modifications?
[IF NEEDED: REMOVED/DISCONNECTED, DRIVER-CONTROLLED OR PASSENGER-CONTROLLED ON-OFF
SWITCH]
(AIRBAG) |
1 |
2 |
-7 |
-8 |
(c) Controls relocated or modified?
[IF NEEDED: TOUCH PAD CONTROLS, CROSSOVER GEAR SHIFT LEVER]
(RELCONT) |
1 |
2 |
-7 |
-8 |
(d) Ramps or lifts installed?
[IF NEEDED: PORTABLE OR PERMANENT]
(RAMPLIFT) |
1 |
2 |
-7 |
-8 |
(e) Roof or doorway modifications?
[IF NEEDED: RAISED ROOF/DOORWAY, POWER DOOR OPENER]
(ROOFDOOR) |
1 |
2 |
-7 |
-8 |
(f) Seating adapted?
[IF NEEDED: TRANSFER-ASSIST SEAT, POWER SEAT BASE, SWIVEL SEAT, MODIFIED HEADREST,
TIE-DOWNS FOR WHEELCHAIRS]
(NEWSEAT) |
1 |
2 |
-7 |
-8 |
(g) Steering adapted?
[IF NEEDED: SPINNER KNOB, REDUCED DIAMETER STEERING WHEEL, EXTENDED STEERING
COLUMN, REDUCED/ZERO EFFORT STEERING, HORIZONTAL STEERING SYSTEM, FOOT STEERING]
(NEWSTEER) |
1 |
2 |
-7 |
-8 |
(h) Storage capability for unoccupied wheelchair/scooter?
[IF NEEDED: CAR TOP CARRIER, HOIST, TIE-DOWNS]
(STORAGE) |
1 |
2 |
-7 |
-8 |
(i) Structural modifications such as a lowered floor?
[IF NEEDED: FLOOR PLAN, FLOOR ADAPTATIONS]
(STRUCMOD) |
1 |
2 |
-7 |
-8 |
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PROGRAMMER NOTE:
RANGE FOR D13 IS $1 THROUGH $25,000.
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D13. Approximately how much did it cost to make all the modifications?
(MODCOST)
COST OF MODIFICATIONS |__|__|__|__|__|
REFUSED -7
DON'T KNOW -8
D14. Who paid for these modifications?
[PROBE WITH: Anyone else?]
(MODCOST1 THROUGH MODCOST7 , OTHER SPECIFY (91) IS MODCSTOS)
[CODE ALL THAT APPLY. USE CTRL/P TO EXIT]
[CODE ALL THAT APPLY. USE CTRL/P TO EXIT]
RESPONDENT/A FAMILY MEMBER 1
FRIEND 2
HUMAN SERVICES AGENCY 3
VA (VETERAN'S ADMINISTRATION) 4
WORKER'S COMPENSATIONS 5
OTHER AGENCY/ORGANIZATION 6
OTHER (SPECIFY) 91
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF THE SUBJECT IS LESS THAN 15, DO NOT ASK D15. AUTOCODE D15 AS 2 AND GO TO D16.
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D15. {Do you/Does NAME/AGE/SEX OF HHM} use this modified vehicle as the . . .
(MODUSE)
driver, 1
the passenger or 2
both? 3
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IS SUBJECT IS AGE 15 OR YOUNGER, USE 1st DISPLAY IN D16.
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D16. {Do you/Does NAME/AGE/SEX OF HHM} think that the safe operation of the vehicle
has decreased, increased or remained the same because of its modifications?
(MODSAFE)
DECREASED 1
INCREASED 2
REMAINED THE SAME 3
REFUSED -7
DON'T KNOW -8
D17. {Have you/Has NAME/AGE/SEX OF HHM} experienced any problems with the special
devices or equipment?
(EXPPROB)
YES 1
NO 2 GO TO D19
REFUSED -7 GO TO D19
DON'T KNOW -8 GO TO D19
D18. What kinds of problems?
[PROBE WITH: Anything else?]
(MODPROB1 THROUGH MODPROB7)
[CODE ALL THAT APPLY. USE CTRL/P TO EXIT]
DOES NOT ACCOMMODATE DISABILITY 1
WEARS OUT MORE QUICKLY THAN FACTORY-INSTALLED EQUIPMENT 2
FAILS TO OPERATE PROPERLY 3
INTERFERES WITH OPERATION OF STANDARD EQUIPMENT 4
POOR/INADEQUATE INSTALLATION 5
REPLACEMENT PARTS NOT AVAILABLE 6
OTHER 7
REFUSED -7
DON'T KNOW -8
D19. Now please consider all the vehicles {you use/NAME/AGE/SEX OF HHM uses} that
may have special devices or equipment - including public vehicles such as buses, trains,
and taxicabs and household vehicles. {Have you/Has s(he)} ever been in an accident
or experienced an incident in any vehicle that has adapative devices for persons
with disabilities?
(ACCINMOD)
[IF ASKED: WE ARE ONLY INTERESTED IN ACCIDENTS/INCIDENTS IN WHICH THE SUBJECT WAS
INVOLVED. ALL INCIDENTS, EVEN MINOR ONES ARE INCLUDED.]
YES 1
NO 2 GO TO D28
REFUSED -7 GO TO D28
DON'T KNOW -8 GO TO D28
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PROGRAMMER NOTE:
RANGE FOR D20 IS 0 TO 25.
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D20. In the past year, how many accidents or incidents {have you/has NAME/AGE/SEX
OF HHM} experienced in modified vehicles?
(NUMACC)
NUMBER OF ACCIDENTS/INCIDENTS |__|__|
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF D20 IS 0 , SKIP TO D28. IF D20 IS 1-25, GO TO PROGRAMMER NOTE BEFORE D22. IF D20
IS -7 OR -8, GO TO D21.
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D21. Did {you/NAME/AGE/SEX OF HHM} experience more than one accident or incident?
(ACCYN)
YES 1
NO 2
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF D20 IS 1 OR D21 IS 2, USE THE DISPLAY "the accident or incident" IN D22.
ELSE, USE THE NEXT DISPLAY.
IF SUBJECT IS AGE 15 OR YOUNGER, USE 1st DISPLAY IN D22.
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D22. In {your/NAME/AGE/SEX OF HHM's} opinion, did the special devices or equipment
contribute to or cause {the accident or incident/any of the accidents or incidents}
including the driver's or passenger's failure to use such equipment, or to use it
properly?
(ACCBYMOD)
YES 1
NO 2 GO TO PROGRAMMER NOTE BEFORE D24
REFUSED -7 GO TO PROGRAMMER NOTE BEFORE D24
DON'T KNOW -8 GO TO PROGRAMMER NOTE BEFORE D24
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PROGRAMMER NOTE:
IF D20 IS 1 OR D21 IS 2, USE THE DISPLAY "the accident or incident" IN D23.
ELSE, USE THE NEXT DISPLAY.
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D23. What were the major ways in which the special devices or equipment contributed
to or caused {the accident or incident/any of the accidents or incidents}?
[PROBE WITH: Anything else?]
(ACCREAS1 THROUGH ACCREAS7)
[CODE ALL THAT APPLY. USE CTRL/P TO EXIT]
DRIVER/PASSENGER FAILED TO USE THE DEVICES/EQUIPMENT 1
DRIVER/PASSENGER USED THE DEVICES/EQUIPMENT IMPROPERLY 2
DRIVER/PASSENGER USED INCORRECT DEVICES/EQUIPMENT 3
DEVICES FAULTY/IN POOR REPAIR/INOPERABLE 4
DRIVER/PASSENGER UNFAMILIAR WITH THE DEVICES/EQUIPMENT 5
VEHICLE DID NOT HAVE CORRECT DEVICES FOR MY DISABILITY 6
OTHER 7
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF D20 IS 1 OR D21 IS 2, USE THE DISPLAY "the accident or incident" IN D24. ELSE,
USE THE NEXT DISPLAY.
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D24. {Were you/Was NAME/AGE/SEX OF HHM} injured in {the accident or incident/any of
the accidents or incidents}?
(WEREHURT)
YES 1
NO 2 GO TO D28
REFUSED -7 GO TO D28
DON'T KNOW -8 GO TO D28
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PROGRAMMER NOTE:
IF D20 IS 1 OR D21 IS 2, USE THE 1st DISPLAY IN D25. ELSE, USE THE NEXT
DISPLAY.
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D25. {In the accident or incident/In any of {your/ NAME/AGE/SEX OF HHM's} accidents
or incidents}, did the special devices or equipment prevent or reduce injuries that
{you/(s(he)} might have suffered without the equipment?
(DECHURT)
YES 1
NO 2
REFUSED -7
DON'T KNOW -8
D26. Were any of {your/NAME/AGE/SEX OF HHM} injuries caused or made worse by the
special devices or equipment, including the driver's or passenger's failure to use
such equipment or to use it properly?
(INCHURT)
YES 1
NO 2 GO TO D28
REFUSED -7 GO TO D28
DON'T KNOW -8 GO TO D28
D27. What were the major ways in which the injuries were caused or made worse by
the special devices or equipment?
[PROBE WITH: Anything else?]
(REAHURT1 THROUGH REAHURT7)
[CODE ALL THAT APPLY. USE CTRL/P TO EXIT]
DRIVER/PASSENGER FAILED TO USE THE DEVICES/EQUIPMENT 1
DRIVER/PASSENGER USED THE DEVICES/EQUIPMENT IMPROPERLY 2
DRIVER/PASSENGER USED INCORRECT DEVICES/EQUIPMENT 3
DEVICES FAULTY/IN POOR REPAIR/INOPERABLE 4
DRIVER/PASSENGER UNFAMILIAR WITH THE DEVICES/EQUIPMENT 5
VEHICLE DID NOT HAVE CORRECT DEVICES FOR MY DISABILITY 6
OTHER 7
REFUSED -7
DON'T KNOW -8
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PROGRAMMER NOTE:
IF SUBJECT IS AGE 15 OR YOUNGER, USE 1st DISPLAY IN D28.
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D28. The National Highway Traffic Safety Administration, also called NHTSA, works
to improve vehicle safety. {Have you/Has NAME/AGE/SEX OF HHM} heard about their
toll-free telephone hotline that people can call to report suspected defects in
automobiles and automotive equipment, including special equipment?
(HOTLINE)
[IF ASKED: THE HOTLINE NUMBER IS 1-888-327-4236]
YES 1
NO 2
REFUSED -7
DON'T KNOW -8
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