Driving Safety Survey

Conducted on authority of:

SEAN M. CHOQUETTE, Maj Gen, USAF
USAF / USSF Chief of Safety
Commander, Air Force Safety Center

For questions regarding AFCMRS surveys, contact: AFSEC/SEH via email: afsec.seh.hqafsecafcmrs@us.af.mil

INFORMED CONSENT. This survey is voluntary, per Office of People Analytics guidance. This is your opportunity to anonymously provide concerns to your commander via write-in comments. Please be specific.

Do NOT discuss or comment on classified, operationally sensitive, or personally identifiable information.
PURPOSE. This survey is designed to give members of the opportunity to provide anonymous feedback to your commander. This process helps leadership identify concerns and highlight areas where they might best focus their efforts. Demographic information will be used only to help your commander analyze results. Your responses are anonymous and aggregated. No results will be reported unless there are five or more members of a demographic group. This prevents the use of demographics to identify individual survey participants.

SURVEY INSTRUCTIONS:
  1. Please use the scale below the survey item to rate your level of agreement with the statements.
  2. Respondents may skip individual survey items that they do not want to answer. ALL demographics must be answered.
  3. Once all survey items are completed, click on the Submit button at the bottom of the page.
  4. A "Thank You" note will appear. You have then completed the survey.

Privacy Act Statement
Authority: 10 U.S.C. 9013, Secretary of the Air Force
Purpose: To provide senior leadership insight on unit climate.
Routine Uses: Feedback will be used to focus resources and effort to improve safety and mission effectiveness
Disclosure: Providing information in this survey is voluntary. Survey results are reported only in a manner that does not identify an individual. However, comments that indicate intent to cause harm to self or others, commit criminal acts, or describe illegal behavior cannot be protected.

Please select one:
  
7-Digit PIN:
Your grade/rank
Cadet
E1-E4
E5-E6
E7-E9
WO1-CWO5
O1-O3
O4-O5
O6 & above
Other
No response
What is your Service?
USAF
USSF
US Army
USMC
USN
USCG
US Civilian
Other
No response
Your age
< 21
21 - 22
23 - 25
26 - 30
31 - 35
36 - 40
41 - 45
> 45
No response
Your military affiliation
Active Duty
Traditional Reservist/IMA
Full-time Reserve Technician
Traditional Guardsman
Full-time Guardsman
Civil Service
Other
No response
Do you currently own or ride a motorcycle?
No
Yes
No response
Do you use TRiPS (the on-line Travel Risk Planning System) or another pre-departure safety tool prior to taking extended drives/rides?
TRiPS
Another tool
Neither
Both
No response
Distance from your residence to your work
< 1 mile
1-5 miles
6-10 miles
11-20 miles
21-100 miles
> 100 miles
N/A
No response
Your travel time from your residence to work
<15 minutes
15-30 minutes
31-45 minutes
46-60 minutes
>60 minutes
No response
Your travel time from work back to your residence
<15 minutes
15-30 minutes
31-45 minutes
46-60 minutes
>60 minutes
No response
Your average hours actually at work on a workday
<8 hours
8 hours
9-10 hours
11-12 hours
>12 hours
No response
When talking on a phone while driving, you use:
A handheld cell phone
A hands-free device
Both hands-free and handheld
Other
I never talk on a phone while driving
No response
As a passenger, how often would you challenge the driver for driving in an unsafe manner?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you take road/weather conditions into account while driving?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you encounter drivers around you that appear to be distracted while driving?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you drive fatigued as a result of your work schedule?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you drive more than 10 MPH above the posted speed limit?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you drive when you feel even the slightest effects from consuming alcohol?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you talk on a phone while driving?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you text, use social media, or use the internet while driving?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you find yourself distracted while driving?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you respond aggressively towards other drivers?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you use turn signals prior to turning or lane changes?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
How often do you take adequate rest stops on long trips?

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
My leaders/supervisors do a good job communicating risks associated with driving.

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
Everyone in my unit is held to the same standard regarding DUI punishment.

Never

Rarely

Sometimes

Often

Always

N/A

Don't Know
Characters remaining: 400 Enter any comment here:
The greatest threat to my safety while driving is:
Characters remaining: 400
THERE I WAS … Describe the most unsafe experience you had while driving.
Characters remaining: 400