Drivers 55 Plus: Self-Rating

Instructions:

For each of the following 15 questions, check the appropriate answer that most applies to you.

Always or Almost Always

Some-times

Never or Almost Never

1.	I signal and check to the rear when I change lanes ..............................................
2.	I wear a seat belt .....................................................................................
3.	I try to stay informed on changes in driving and highway regulations .........................
4.	Intersections bother me because there is so much to watch from all directions ............
5.	I find it difficult to decide when to join traffic on a busy interstate highway ..............
6.	I think I am slower than I used to be in reacting to dangerous driving situations ...........
7.	When I am really upset, I show it in my driving .................................................
8.	My thoughts wander when I am driving ...........................................................
9.	Traffic situations make me angry ...................................................................
10.	I get regular eye checks to keep my vision at its sharpest ....................................
11.	I check with my doctor or pharmacist about all effects of my medications on driving ability. (If you do not take any medication, skip this question) ..............................
12.	I try to stay abreast of current information on health practices and habits .................
13.	My children, other family members or friends are concerned about my driving ability ...
	Note new headings	None	One or Two	Three or More
14.	How many Traffic tickets, warnings, or "discussions" with officers have you had in the past two years? .......................................................................................
15.	How many accidents have you had during the past two years? ...............................

Interpretation of Score