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  1. Surveys
  2. 2010
  3. December
  4. D
  5. Driver Efficiency - Screening
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Hello:
Please take a few minutes to answer the following questions to help us determine your eligibility to participate in this study.

Your participation in this study is completely voluntary. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point.

Your responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
Please provide the e-mail address you used to contact [email protected]:
   
 
 
 
Please provide the name of the business park (or location) where you work:
   
 
 
 
Do you have a valid driver’s license?
 
yes
 
no
 
 
 
What is your age?
   
 
 
 
What is your gender?
 
male
 
female
 
 
 
Do you own the vehicle that you drive on a regular basis?
 
yes
 
no
 
 
 
Are you willing/able to provide proof of vehicle ownership if you are selected to participate in this study?
 
yes
 
no
 
 
 
Are you willing/able to provide proof of insurance if you are selected to participate in this study
 
Yes
 
No
 
 
 
What is the make and model of the vehicle you drive on a regular basis?
   
 
 
 
What is the model year of the vehicle you drive on a regular basis?
   
 
 
 
Are you the exclusive driver of the vehicle you drive on a regular basis?
 
yes
 
no
 
 
 
Do you park your vehicle off street at your place of residence, for example in a driveway or garage?
 
Yes
 
No
 
 
 
Do you park your vehicle off street at your place of work, for example in a parking lot?
 
Yes
 
No
 
 
 
Has your vehicle ever been broken into at a location where you park regularly?
 
Yes
 
No
 
 
 
Do you have the ability to meet research staff at the UC Berkeley Richmond Field Station (located at 1301 S. 46th Street in Richmond, CA) three times during your participation in the study?

You would come to the Richmond Field Station at a pre-arranged time during regular work hours. You would come once at the beginning of the study, again after four weeks and for a final visit after eight weeks that concludes your participation.
 
yes
 
no
 
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