U.S. Department of Transportation
Federal Highway Administration
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Federal Highway Administration Research and Technology
Coordinating, Developing, and Delivering Highway Transportation Innovations
|This report is an archived publication and may contain dated technical, contact, and link information|
Publication Number: FHWA-HRT-04-138
Date: December 2005
Enhanced Night Visibility Series, Volume VII: Phase II—Study 5: Evaluation of Discomfort Glare During Nighttime Driving in Clear Weather
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APPENDIX A—SCREENING QUESTIONNAIRE
Driver Screening and Demographic Questionnaire: ENV–Glare
Note to Screening Personnel:
Initial contact with the potential participants will take place over the phone. Read the following Introductory Statement, followed by the questionnaire (if they agree to participate). Regardless of how contact is made, this questionnaire must be administered before a decision is made regarding suitability for this study.
Introductory Statement (Use the following script in italics as a guideline in the screening interview):
Good morning/afternoon! My name is _____ and I work at the (testing facility) in Blacksburg, VA. I’m recruiting drivers for a study to evaluate new night vision enhancement systems for vehicles.
This study will involve you driving a vehicle for two 3-hour night sessions on the Smart Road. The Smart Road is a test facility equipped with advanced data recording systems here in Blacksburg, VA. We will pay you 20 dollars per hour. Would you like to participate in this study?
If they agree:
Next, I would like to ask you several questions to see if you are eligible to participate.
If they do not agree:
Thanks for your time.
I would like to confirm your full name, phone number(s) (home/work) where you can be reached, hours/days when it’s best to reach you, and preferred days to participate.
Name __________________________________________________________ Male / Female
Phone Numbers (Home)_________________________(Work)_________________________
Best Time to Call _________________________________________________
Best Days to Participate____________________
Criteria For Participation:
Topics: research, safety
Keywords: research, safety, Age, Discomfort Glare, Halogen, Headlamp, High Intensity Discharge (HID), Nighttime, Vision Enhancement System
TRT Terms: research, Safety and security, Safety, Transportation safety, Headlight glare--Evaluation, Automobile driving at night, Automobiles--Lighting--Evaluation, Night visibility, Headlamps