Autonomous Vehicle Driver Assessment Form
Please complete this assessment to help us evaluate your suitability to drive autonomous vehicles. All questions relate to your experience, attitudes, and comfort with advanced driving technology.
Full Name
*
First Name
Last Name
How would you rate your overall comfort with technology and digital devices?
*
1
2
3
4
5
Have you previously used any driver-assist or autonomous vehicle features?
*
Yes
No
How confident do you feel letting a vehicle handle driving tasks in various conditions?
*
Rows
Not confident
Somewhat confident
Very confident
Daytime driving
1
2
3
Nighttime driving
4
5
6
Heavy traffic
7
8
9
Adverse weather
10
11
12
Rate your trust in autonomous vehicle safety systems.
*
No trust
1
2
3
4
5
6
Complete trust
7
1 is No trust, 7 is Complete trust
How likely are you to intervene if the vehicle makes a driving decision you disagree with?
*
Not likely
1
2
3
4
5
6
Very likely
7
1 is Not likely, 7 is Very likely
How attentive do you typically remain while using autonomous driving features?
*
Fully attentive at all times
Mostly attentive
Somewhat distracted
Rarely attentive
Which best describes your approach to learning new vehicle technologies?
*
I read the manual and do research
I learn by trial and error
I ask others for help
I avoid new technology when possible
Please indicate your agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am comfortable letting a vehicle make driving decisions.
13
14
15
16
17
I am able to stay focused even when not actively driving.
18
19
20
21
22
I trust technology to improve road safety.
23
24
25
26
27
I am open to adopting new driving technologies.
28
29
30
31
32
Briefly describe any concerns or expectations you have about autonomous vehicles.
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