Fear of Driving

Please answer these questions.

1. How many traffic accidents have you had when you were the driver?

2. I feel a certain amount of fear when I drive.
strongly disagree strongly agree

3. Sometimes I am too fearful to drive.
false true

4. Are you Male or Female?

Female
Male

5. What is your age? years.

6. What is the highest level of education you have completed?

7. Nationality (country of birth):

8. COMMENTS:

Please check your answers. When you are done, push the button below.

Thank You!