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80 APPENDIX D State Motor Vehicle Department Survey NATIONAL COOPERATIVE HIGHWAY RESEARCH PROGRAM Project 20-5, Topic 35-10 IMPROVING THE SAFETY OF OLDER ROAD USERS STATE MOTOR VEHICLE DEPARTMENT OFFICE SURVEY The growing number of older road users, combined with their risk of injury and death in roadway crashes, are pressing soci- etal concerns. This survey is being sponsored by the National Cooperative Highway Research Program to help identify strate- gies for improving the safety of older road users. Separate surveys are being sent to state transportation departments (DOTs), governorâs highway safety offices, and state agencies on aging. The focus of the survey is on older road users, and in particular older drivers and pedestrians. We are seeking information on planned or implemented programs, activities, policies, and/or legislation aimed at improving the safety of older road users. This synthesis will NOT address programs intended primarily to provide transportation to those who cannot drive. The questions below address the areas of driver licensing and motorist education and awareness. Given the broad scope of the survey, it is likely that more than one person will be involved in its completion. In the space below, please provide names and contact information for those contributing to the survey. Please return the completed survey and any supporting materials or documentation by (date) to: Dr. Jane Stutts University of North Carolina Highway Safety Research Center 730 Airport Road, Campus Box 3430 Chapel Hill, NC 27599-3430 A return address label has been enclosed for your convenience. If you have any questions, please feel free to contact Dr. Stutts by telephone at (919) 962-8717, or by e-mail at jane_stutts@unc.edu. Respondent Information Name: Title / Department Phone: E-mail
81 1. Does your agency make older road user safety and/or mobility information available on its website? Yes No If yes, please provide this website address: _________________________________________________ 2. Does your agency provide educational materials for older road users (pamphlets, brochures, etc.) at its licensing offices? Yes No If yes, were these materials: Developed by your agency Developed by someone else IMPORTANT! Please attach a copy of these Combination of above materials with your completed survey. 3. Does your agency provide guidance or assistance to older drivers or former drivers in accessing alternative forms of transportation? Yes No If yes, please describe and attach copies of relevant materials: _________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 4. Is your agency involved in any programs or activities with state or local law enforcement agencies addressing older road user safety and mobility? Yes No If yes, please describe and attach copies of relevant materials: _________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 5. Does your agency coordinate with other state agencies and/or organizations in the private sector to make information or programs available to older road users and/or their families? Yes No If yes, with whom do you coordinate? _____________________________________________________ ____________________________________________________________________________________ What type of information/program do you provide? __________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 6. Is your agency engaged in any other activities or programs to improve road user safety and mobility? Yes No If yes, please describe below: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
82 7. Do local driverâs license offices provide information and/or assistance to older adults or their families with regard to: 7a. Identifying driver ârefresherâ courses (e.g., AARP or AAA courses) available locally? Yes No 7b. Identifying local resources for more in-depth assessment of driving skills? Yes No 7c. Identifying local resources for driver training or remediation? Yes No 7d. Identifying available transportation alternatives when driving is no longer an option? Yes No 8. On a scale of 1 to 5, where 1 represents no training and 5 represents comprehensive training, to what extent do license examiners in your state receive training with regard to: Level of Training 8a. Observational approaches for identifying potentially at-risk drivers applying for license renewal (e.g., what to look for when approaches the counter, how responds to questions) 1 2 3 4 5 8b. Age-related declines in visual function that may affect driving ability 1 2 3 4 5 8c. Age-related declines in cognitive function that may affect driving ability 1 2 3 4 5 8d. Medical conditions that may affect driving ability 1 2 3 4 5 8e. Medications that may affect driving ability 1 2 3 4 5 8f. Counseling older adults who must surrender their license 1 2 3 4 5 9. To what extent are license examiners in your state present at local gatherings such as senior centers, health fairs, etc. concerning older road user safety issues? Rarely or not at all Occasionally Often Uncertain/do not know 10. To what extent do license examiners in your state engage in other public education activities with respect to older road user safety and mobility (e.g., hosting booths at shopping malls, serving on community advisory panels). Rarely or not at all Occasionally Often Uncertain/do not know
83 11. Approximately how many drivers each year are referred to your office for reevaluation of their fitness to drive? ________ 11a. About how many of these referrals are age 65 or older? ________ 11b. Is information maintained on the sources for these referrals? Yes No If yes, approximately what percentage are referred: by physicians or other medical professionals _____ % by law enforcement officers _____ % by courts _____ % by family members or friends _____ % by the individual himself/herself (e.g., self-reported medical conditions) _____ % based on crash and/or violation records _____ % by other means _________________________________________ _____ % (Total should = 100%) THANK YOU! Please use the space below (or attach separate page) to provide any additional comments or information, and be sure to include copies of relevant materials with your completed survey.
