Driver Questionnaire (If you do not live and drive in the United Kingdom please do not fill in and submit the questionnaire). You may return to the main page.
Occupation:	region and city you live in:
Are you male or female? female male	What is your age? 17-25 26-34 35-43 44-52 53+
Insurance group of main vehicle used? 1-5 6-10 11-15 16-20
Main vehicle used? car motorcycle HGV PSV
Do you drive in the following conditions? heavy rain fog snow/ice darkness
Please indicate the order of highway on which you drive Motorwaye.g.1 Dual carriage waye.g.2 Urban (built-up road)e.g.3	Average miles per year? 100-5000 5100-10000 10100-15000 15100-2000 25000+
How many times a day do you drive? not every day once a day twice a day more than twice a day
If any of the following has happened to you within the last three years please indicate
I have had a head-on accident (where two vehicles travelling in opposite directions on the same road collide). yes (how many?) no
I have had a rear-end accident (where two vehicles travelling in the same direction on the same road collide). yes (how many?) no
I have had an intersection accident (where two vehicles collide at an intersection, one hitting the side of the other). yes (how many?) no
I have had a head-on accident (where two vehicles travelling in opposite directions on the same road collide). yes (how many?) no
I have had a side-swipe accident (where two vehicles travelling in the same or opposite direction collide at a glancing angle, one hitting the side of the other). yes (how many?) no
I have had a single-vehicle accident (where one vehicle loses control and usually runs of the road). yes (how many?) no
I have had an accident involving a pedestrian or cyclist. yes (how many?) no
If you have ticked yes to any of the above please indicate the condition of the vehicle(s) involved. In addition, if you have ticked more than one of the above accidents indicate which accident. write-off (which accident?) needed major repair (which accident?) needed minor repair (which accident?)
If you ticked any of the above accidents did any of the following occur with your accident?
A fatality, i.e. a death within 30 days of the accident. If you ticked more than one accident indicate which accident. yes (which accident?) no
A serious injury to you or another person, i.e. detained in hospital as an in-patient, or any of the following injuries, whether or not detained in hospital; fractures, concusion, internal injuries, crushing, bleeding and burns, and severe general shock requiring medical treatment. If you ticked more than one accident indicate which accident yes (which accident?) no
A slight injury to you or another person, e.g. a sprain, bruise, cut or laceration not judged to be severe. If you ticked more than one accident indicate which accident yes (which accident?) no
Have you had within the last 3 years one or more of the following (indicate how many)
1. A disqualification /ban from driving? yes no
2. A fine/penalty points on your licence? yes (how many?) no
3. A stop and caution by the police? yes (how many?) no
Section 2. The following section is about your personality, attitudes and behaviour. Again, please try to answer all the questions honestly.
1. Do you read something and find you haven't been thinking about it and must read it again? very often quite often occasionally very rarely never
2. Do you find you forget why you went from one part of the house to the other? very often quite often occasionally very rarely never
3. Do you fail to notice signposts on the road? very often quite often occasionally very rarely never
4. Do you find you confuse right and left? very often quite often occasionally very rarely never
5. Do you bump into people (in general)? very often quite often occasionally very rarely never
6. Do you find you forget whether you turned off a light or locked the door to your house or car? very often quite often occasionally very rarely never
7. Do you fail to listen to peoples' names when you are meeting them? very often quite often occasionally very rarely never
8. Do you say something and realise afterwards that it might have been taken as insulting? very often quite often occasionally very rarely never
9. Do you fail to hear people speaking to you when you are doing something else? very often quite often occasionally very rarely never
10. Do you lose your temper and regret it? very often quite often occasionally very rarely never
11. Do you leave important letters unopened for days? very often quite often occasionally very rarely never
12. Do you find you forget which way to turn on a road you know well but rarely use? very often quite often occasionally very rarely never
13. Do you fail to see what you want in a supermarket (although it's there)? very often quite often occasionally very rarely never
14. Do you find yourself suddenly wondering whether you've used a word correctly? very often quite often occasionally very rarely never
15. Do you have trouble making up your mind? very often quite often occasionally very rarely never
16. Do you find you forget appointments? very often quite often occasionally very rarely never
17. Do you forget where you put something like a newspaper or book? very often quite often occasionally very rarely never
18. Do you find you accidentally throw away the thing you want and keep what you meant to throw away? very often quite often occasionally very rarely never
19. Do you daydream when you ought to be listening to something? very often quite often occasionally very rarely never
20. Do you find you forget peoples names? very often quite often occasionally very rarely never
21. Do you start doing one thing at home and get distracted into something else (unintentionally)? very often quite often occasionally very rarely never
22. Do you find you cannot quite remember something although it's on the 'tip of your tongue'? very often quite often occasionally very rarely never
23. Do you drop things? very often quite often occasionally very rarely never
24. Do you find you sometimes cannot think of anything to say? very often quite often occasionally very rarely never
25. Do you ever worry about awful things that might happen when you are driving? very often quite often occasionally very rarely never
26. Do you ever get palpitations or thumping in your heart when driving? very often quite often occasionally very rarely never
27. Do you ever consider yourself nervous when driving? very often quite often occasionally very rarely never
28. Do you ever experience a sick feeling in your stomach when driving? very often quite often occasionally very rarely never
29. Do you ever sweat excessively when driving? very often quite often occasionally very rarely never
30. Do you ever feel tense and/or inadequate when driving? very often quite often occasionally very rarely never
31. Do you ever get headaches when driving? very often quite often occasionally very rarely never
32. Do you ever lack confidence in your driving ability? very often quite often occasionally very rarely never
33. Do you ever have clammy hands when driving? very often quite often occasionally very rarely never
34. Do you ever get worried or panicky when driving in heavy traffic? very often quite often occasionally very rarely never
35. Do you disregard the speed limit on motorways and dual carriageways? very often quite often occasionally very rarely never
36. Do you disregard the speed limit on built up 30 mph roads? very often quite often occasionally very rarely never
37. Do you sometimes fail to stop at traffic lights? very often quite often occasionally very rarely never
38. Do you sometimes drive too close to the vehicle in front? very often quite often occasionally very rarely never
39. Do you sometimes overtake on the inside? very often quite often occasionally very rarely never
40. Do you sometimes race against other vehicles? very often quite often occasionally very rarely never
41. Do you sometimes drink alcohol, or take illegal drugs, and drive? very often quite often occasionally very rarely never
42. Do you wear a seat belt? very often quite often occasionally very rarely never
43. Do you sometimes fail to dip your headlights at night for an oncoming vehicle? very often quite often occasionally very rarely never
44. Do you ever drive down one-way streets the wrong way? very often quite often occasionally very rarely never
45. Do you park on double-yellow lines? very often quite often occasionally very rarely never
46. Have you ever driven without an MOT or insurance very often quite often occasionally very rarely never
47. Do you ever jump traffic queues? very often quite often occasionally very rarely never
48. Do you periodically maintain your vehicle (e.g. brakes, oil/coolant levels, tyre pressures)? very often quite often occasionally very rarely never
49. Do you ever fail to use your indicators? very often quite often occasionally very rarely never
50. Do you ever fail to yield at junctions? very often quite often occasionally very rarely never
51. Do you make and/or answer mobile phone calls when driving? very often quite often occasionally very rarely never
52. My greatest satisfaction comes from doing things better than others. not typical of me somewhat typical of me typical of me
53. I tend to bring the theme of a conversation around to things I am interested in. not typical of me somewhat typical of me typical of me
54. In conversations I tend to use strong movements to emphasise my points. not typical of me somewhat typical of me typical of me
55. I move, walk and eat rapidly. not typical of me somewhat typical of me typical of me
56. I feel as though I can accomplish more than others. not typical of me somewhat typical of me typical of me
57. I feel guilty when I relax or do nothing for several hours or days. not typical of me somewhat typical of me typical of me
58. It does not take much to get me to argue. not typical of me somewhat typical of me typical of me
59. I feel impatient with the rate at which most events take place. not typical of me somewhat typical of me typical of me
60. Having more than others is important to me. not typical of me somewhat typical of me typical of me
61. One aspect of my life (e.g. work) dominates all others. not typical of me somewhat typical of me typical of me
62. I frequently regret not being able to control my temper. not typical of me somewhat typical of me typical of me
63. I find it anguishing to wait in line. not typical of me somewhat typical of me typical of me
64. I am frequently upset by the unfairness of life. not typical of me somewhat typical of me typical of me
65. I find myself hurrying others in conversation and even finishing their sentences for them. not typical of me somewhat typical of me typical of me
66. I believe that people who avoid competition have low self-confidence. not typical of me somewhat typical of me typical of me
67. I believe that to do something well you have to concentrate and screen out all distractions. not typical of me somewhat typical of me typical of me
68. I feel othersĘ mistakes and errors cause me needless aggravation. not typical of me somewhat typical of me typical of me
69. I find it intolerable to watch others perform tasks I know I can do faster. not typical of me somewhat typical of me typical of me
70. I believe that getting ahead in my job is a major personal goal. not typical of me somewhat typical of me typical of me
71. I simply do not have enough time to lead a well-balanced life. not typical of me somewhat typical of me typical of me
72. I take out my frustration with my imperfections on others. not typical of me somewhat typical of me typical of me
73. I frequently try to do two or more things simultaneously. not typical of me somewhat typical of me typical of me
74. When I encounter a competitive person, I feel a need to challenge him or her. not typical of me somewhat typical of me typical of me
75. I tend to fill up my spare time with thoughts and activities related to my work. not typical of me somewhat typical of me typical of me
76. I can see how it would be interesting to marry someone from a foreign country. strongly agree agree neutral disagree strongly disagree
77. When the water is very cold, I prefer not to swim even if it is a hot day. strongly agree agree neutral disagree strongly disagree
78. If I have to wait a long time, I am usually patient about it. strongly agree agree neutral disagree strongly disagree
79. When I listen to music, I like it to be loud. strongly agree agree neutral disagree strongly disagree
80. When taking a trip, I think it is best to make as few plans as possible and just take it as it comes. strongly agree agree neutral disagree strongly disagree
81. I stay away from movies that are said to be frightening or highly suspenseful. strongly agree agree neutral disagree strongly disagree
82. I think its fun and exiting to perform or speak before a group. strongly agree agree neutral disagree strongly disagree
83. If I were to go to an amusement park, I would prefer to ride the roller coaster or other fast rides. strongly agree agree neutral disagree strongly disagree
84. I would like to travel to places that are strange and far away. strongly agree agree neutral disagree strongly disagree
85. I would never like to gamble with money, even if I could afford it. strongly agree agree neutral disagree strongly disagree
86. I would have enjoyed being one of the first explorers of an unknown land. strongly agree agree neutral disagree strongly disagree
87. I like a movie where there are a lot of explosions and car chases. strongly agree agree neutral disagree strongly disagree
88. I do not like extremely hot and spicy food. strongly agree agree neutral disagree strongly disagree
89. In general, I work better when I am under pressure. strongly agree agree neutral disagree strongly disagree
90. I often like to have the TV on while I am doing something else, such as reading or cleaning up. strongly agree agree neutral disagree strongly disagree
91. It would be interesting to see a car accident happen. strongly agree agree neutral disagree strongly disagree
92. I think it is best to order something familiar when eating in a restaurant. strongly agree agree neutral disagree strongly disagree
93. I like the feeling of standing next to the edge on a high place and looking down. strongly agree agree neutral disagree strongly disagree
94. If it were possible to visit another planet or the moon for free, I would be among the first to sign up. strongly agree agree neutral disagree strongly disagree
95. I can see how it must be exciting to be in a battle during a war. strongly agree agree neutral disagree strongly disagree
What is most likely to upset you when driving:

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