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73 A P P E N D I X B Driver Survey CMV Driver Survey: Health and Wellness Program Experiences This survey is part of a Transportation Research Board (TRB) study to gain information from commercial motor vehicle drivers (truck, bus, or motor coach) on your experiences with company-sponsored driver health and wellness programs. The survey asks about company programs, strategies, and resources used by truck and bus companies to proactively improve driver health and wellness. Please take a few moments to respond to the following survey regarding your experiences with company- sponsored health and wellness programs. For this study, health and wellness programs are defined as a series of ongoing company planned activities intended to improve the health and well-being of truck or bus and motor coach drivers. Survey Completion and Submission Instructions Please complete this survey by (5/31/06) and fax it to (770)-432-0638 or mail it to: Virginia Dick, Ph.D. American Transportation Research Institute 1850 Lake Park Dr., Suite 123 Smyrna, GA 30518 Computer Online Survey: If you would prefer to complete the survey online, please go to the Web at: http://atri-online.org/driversurvey/ and click on Driver Survey. Company Name:_______________________________________________ Address:____________________________________________________________ Your Name: __________________________________________ Title/Department:_____________________________________________________ Phone:_________________Fax:_________________E-mail:__________________
74 Completion of this survey by Telephone: If you would prefer to answer this survey over the telephone, please contact us by phone at (770) 432-0628 extension 2; or via email (vdick@trucking.org) to set up an appointment. All survey responses will be kept confidential and will be presented only in an aggregate format. If you have any questions, please call Virginia Dick at 770-432-0628 or Jerry Krueger at (703) 850-6397. The final results will be summarized in a report that will be available from the Transportation Research Board. Your safety manager will have a copy of this report for your review.
75 GENERAL INFORMATION 1. Which categories best describe your current company (employer)? (Check all that apply) Truck company Bus company Private Charter For-Hire Tour Truckload Regular route Less-than-Truckload Airport express Specialized Special operations Other (please specify): ________________ Contract services Other (please specify): _________________ 2. How old are you? ____ years old 3. Are you? Male Female 4. How many years have you been driving a commercial vehicle? __________years 5. How would you rate the status of your health overall right now? Very healthy About average health for my age Not very healthy 6. Rank the following health risk factors for commercial drivers today, in order of priority from 1 (highest priority) to 7 (lowest priority), using each rank only once: ____ Obesity ____ Drug/alcohol use _____ Sleep disorders ____ Unhealthy diet ____ Stress _____ Uncontrolled hypertension _____ Other (Please specify) ________________________________________ 7. Have you ever completed a personal health risk appraisal form? Yes, at this company Yes, on my own, or elsewhere No, never have
76 8. How long has your companyâs health & wellness program been in place? __________Years (Not sure) 9. About how long have you participated in your company program? _________Years 10. How actively do you participate in your company health & wellness program? Very active Moderately active Barely active Not at all 11. In what department(s) is your companyâs health & wellness program located? (Check all that apply) Operations Human resources Medical/occupational health Health promotion Safety Other (please specify):__________________ 12. Does your company perform fitness-for-duty evaluations for the company drivers? Yes No 12a. If yes, please describe what they consist of, how and when they are conducted:________________________________________________________________ 13. Which of the following statements reflect the level of support for the program? (Check all that apply) Our President or CEO communicates importance of employee health & wellness to all employees (e.g., formal written memos; incorporated into employee orientation). A statement concerning employee health and wellness is in the companyâs mission/vision statement(s). The company has an individual to lead the H & W program. The company has formally appointed a committee to lead or support the H & W program. Management allocates adequate resources for the program (budget, space, information, or equipment). Managers actively promote participation in health and wellness activities. Other (please specify): ________________________________________ 14. Indicate which features are available at your company, the ones you participate in the most, and which you like most and least.
77 Available (All that apply) Participate in the most (All that apply) Best (Only one) Least (Only one) Occupational med. dept/nurse O O Employee health risk appraisal O O Nutrition & diet advice/assistance O O Physical fitness programs O O Weight management program O O Help to quit smoking or use of tobacco O O Physical fitness equipment is available O O Blood pressure screening O O Sleep disorders screening/treatment O O Ergonomics training/screening O O Stress management training O O Driver fatigue management training O O Drug/alcohol program assistance O O Stresses safe driving practices /promotion of seat belt use O O Makes healthy food options available O O Regular distribution of H&W informational materials O O Maintain an easily accessible health and wellness library O O Provides drivers with release time to participate in H&W activities O O Reimburses drivers for health club memberships or other activities O O Company provides other incentives to participate in H&W activities O O Offer drivers peer support groups and mentoring opportunities O O Ensures all vehicles are maintained in ergonomically sound condition O O Offers assistance to help drivers address issues of work/life balance O O Encourages driversâ family members to participate in H&W programs O O Other: _________________________________________ O O 15. Overall, has your participation in the program changed over the past two years? (Check only one) Remained about the same Decreased modestly Increased modestly Decreased substantially
78 Increased substantially Does not apply, have not been with company that long 16. Do you think the important health & wellness messages are effectively delivered to drivers at your company? Yes No 16a. If no, how can they be improved?__________________________________________________ 17. Do you think most drivers in your company understand those H&W messages? Yes No 17a. If not, why not?_________________________________________________________________ 18. What percentage of drivers in your company would you estimate actively participate in the health & wellness program? _______% 19. What program improvements would prompt more participation by drivers? ______________________ 20. Do you think your company provides opportunities for drivers to improve their health and wellness? Yes No 20a. What could your company do to improve quality of life for drivers?_________________________ 21. Would you be willing to discuss your companyâs H&W program with us further? Yes No 21a. If yes, please provide us a phone number to call you: _________________ Thank you very much for your participation!
