Pregnancy & Driving Questionnaire


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About You

W1) What week of your pregnancy are you at now? weekpost natal 4241403938373635343332313029282726252423222120191817161514131211109876

W2) How many babies are you carrying? 12morepost natal

W3) How many pregnancies have you previously had? (both viable and non-viable) number01234more

W4) How many children do you have aged:
0 to 3 years old? 012more
4 to 7 years old? 012more
8 to 12 years old? 012more
13 and older? 012more

W5) How tall are you? feet or metresshorter4ft 8" or 1m 42cm4ft 9" or 1m 45cm4ft 10" or 1m 47cm4ft 11" or 1m 50cm5ft 0" or 1m 52cm5ft 1" or 1m 55cm5ft 2" or 1m 58cm5ft 3" or 1m 60cm5ft 4" or 1m 63cm5ft 5" or 1m 65cm5ft 6" or 1m 68cm5ft 7" or 1m 70cm5ft 8" or 1m 73cm5ft 9" or 1m 75cm5ft 10" or 1m 78cm5ft 11" or 1m 80cm6ft 0" or 1m 83cm6ft 1" or 1m 85cm6ft 2" or 1m 88cm6ft 3" or 1m 90cm6ft 4" or 1m 93cm6ft 5" or 1m 96cm6ft 6" or 1m 98cmtaller

W6) How old are you? ageyounger131415161718192021222324252627282930313233343536373839404142434445464748older

W7) What was your average weight before pregnancy? stone or kilogramslighter7st or 44kg7.25st or 46kg 7.5st or 48kg7.75st or 49kg8st or 51kg8.25st or 52kg8.5st or 54kg8.75st or 56kg9st or 57kg9.25st or 59kg9.5st or 60kg9.75st or 62kg10st or 64kg10.25st or 65kg10.5st or 67kg10.75st or 68kg11st or 70kg11.25st or 71kg11.5st or 73kg11.75st or 75kg12st or 76kg12.25st or 78kg12.5st or 79kg12.75st or 81kg13st or 83kg13.25st or 84kg13.5st or 86kg13.75st or 87kg14st or 89kg14.25st or 90kg14.5st or 92kg14.75st or 94kg15st or 95kg15.25st or 97kg15.5st or 98kg15.75st or 100kg16st or 102kg16.25st or 103kg16.5st or 105kg16.75st or 106kg17st or 108kg17.25st or 110kg17.5st or 111kg17.75st or 113kg18st or 114kgheavier

W8) How much do you weigh now? stone or kilogramslighter7st or 44kg7.25st or 46kg 7.5st or 48kg7.75st or 49kg8st or 51kg8.25st or 52kg8.5st or 54kg8.75st or 56kg9st or 57kg9.25st or 59kg9.5st or 60kg9.75st or 62kg10st or 64kg10.25st or 65kg10.5st or 67kg10.75st or 68kg11st or 70kg11.25st or 71kg11.5st or 73kg11.75st or 75kg12st or 76kg12.25st or 78kg12.5st or 79kg12.75st or 81kg13st or 83kg13.25st or 84kg13.5st or 86kg13.75st or 87kg14st or 89kg14.25st or 90kg14.5st or 92kg14.75st or 94kg15st or 95kg15.25st or 97kg15.5st or 98kg15.75st or 100kg16st or 102kg16.25st or 103kg16.5st or 105kg16.75st or 106kg17st or 108kg17.25st or 110kg17.5st or 111kg17.75st or 113kg18st or 114kgheavier

W9) What is your highest completed level of education? school leaverGCSE or equivalentA level or equivalenthigher education
other

W10) What is your average household income per year? £Below £10,000£10,000 to £20,000£20,000 to £30,000£30,000 to £50,000£50,000 to £70,000over £70,000

W11) What is your country of residence?
UK
Non-UK
Please enter your country if you are not a UK resident

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About Your Car

Please note: You may wish to tell us about more than one car that you travel in. The pdf version of this questionnaire is designed to ask about two cars, so that you can compare them. Click here to download it. Alternatively, you could complete this online questionnaire twice, once for each car.

V1) Do you drive?
Yes
No

V2) What brand (eg. Ford) of car do you travel in most often? brandACAIXAMALFA ROMEOALLARDALVISAMCARM SIDDELEYAROASIAASTON MARTINAUDIAUSTINAUTO UNIONBENTLEYBITTERBMWBONDBORGWARDBRISTOLBUGATTIBUICKCADILLACCATERHAMCHEVROLETCHRYS AUSCHRYSLERCITROENCOLTDACIADAEWOODAFDAIHATSUDAIMLERDALLASDATSUNDE TOMASODELOREANERAFACEL VEGAFAIRTHORPEFERRARIFIATFORDFORD (AUS)FORD (GER)FORD (USA)FSO (POLSKI)GILBERNGINETTAGOGOMOBILHILLMANHILDONHONDAHUMBERHYUNDAIISA RIVOLTAISUZUJAGUARJEEPJENSONJOWETTKHALEEJKIALADALAMBORGHINILANCHESTERLANCIALANDROVERLEXUSLIGIERLINCOLNLONSDALELOTUSMAHINDRAMARCOSMASERATIMAZDAMCCMERCEDESMERCURYMGMICROCARMINIMITSUBISHIMORGANMORRISMOSKVICHNISSANNSUOKAOPELPANHARDPANTHERPERODUAPEUGEOTPORSCHEPRTAROPROTONRELIANTRENAULTRILEYROLLS ROYCEROVERSAABSAOSEATSIMCASINGERSKODASSANGYONGSTANDARDSUBARUSUNBEAMSUZUKITALBOTTATATOYOTATRIUMPHTVRVALIANTVANDEN PLASVAUXHALLVOLGAVOLKSWAGENVOLVOWARTBURGWOLSELEYZASTAVA
other

V3) What is the make (eg. Focus) of this car?


V4) What is the year of registration of this car? year or letter 2005 2004 2003 2002 2001 or Y 2000 or V W X 1999 or S T 1998 or R 1997 or P 1996 or N 1995 or M 1994 or L 1993 or K 1992 or J 1991 or H 1990 or G 1989 or F 1988 or E 1987 or D 1986 or C 1985 or B 1984 or A 1983 or Z 1982 or Y 1981 or X 1980 or W older

V5) Does this car have 2 or 4 passenger doors? doors24don't know

V6) Is this car a manual or automatic drive? drivemanualautomaticdon't know

V7) In which seat do you sit most often in this car?
driver
front passenger
rear passenger

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Driving and Car Travel

Remember that you are comparing your pregnancy to when you are not pregnant.

D1) How much is your driving/travelling being adversely affected by your pregnancy?

	not at all	a little	a lot	so much I avoid car travel	I don't drive
comfort
safety
reaching controls
getting in & out of car
using the boot/trunk
driving ability in general
night driving
reversing
other

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Getting In & Out of the Car

G1) What methods or actions do you use to assist in getting out of the car?
lean forward
lean on the door
pull on the door
push against the seat
someone helps
nothing
other


G2) What methods or actions do you use to assist in getting in to the car?
lean on the door
lean on the seat
lean on the steering wheel
someone helps
nothing
other


G3) What is the main difficulty in getting in and out of the car?
fear of overbalancing
there is not enough space
movement is restricted
no difficulty
other


G4) Is there anything else that makes getting in and out of the car difficult for you?

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Reaching and Operating Controls

R1) How easy is it for you to reach and use/operate the following parts of the car?

	very easy	easy	difficult	very difficult	I don't drive
window buttons/handle
radio
controls on the dashboard
seat belt
wing mirrors
glove compartment
access to rear seats
sun roof
gear stick
handbrake
pedals
rear view mirror
other

R2) For the items that you listed above as being difficult/very difficult to reach or use, please explain why, or the particular problem associated with that activity

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Seat Belts

Remember that you are comparing your pregnancy to when you are not pregnant

S1) Are you wearing a seat belt whilst you are pregnant?
Yes
No

S2) If you are not wearing a seat belt at this time, why is this?
don't usually wear a seat belt
it is uncomfortable
I think it might be a safety risk
no reason
not applicable
other


S3) How do you position the shoulder section of the belt over your chest?

			I don't wear the shoulder section of the belt

S4) How do you position the lap section of the belt over your abdomen?

I don't wear the lap section of the belt

S5) What are your problems with wearing a seat belt during pregnancy?
it is difficult to adjust
the belt won't fit under my bump
the belt is not long enough to fasten
the belt is too tight on my hips
it is too tight on my chest
it is tight on my abdomen
it cuts into my shoulder
it cuts into my breasts
it is difficult to fasten and unfasten
there is no problem
other


S6) Do you feel safe when wearing your seat belt?
Yes
No
If you don't feel safe in your belt, please state why


S7) Have you received any advice about how to wear your seat belt during pregnancy?
Yes
No

S8) If yes, where did you receive this advice from?
GP
midwife
leaflet
book
friend
relative
radio
nurse
television
internet
magazine
other

S9) Are you aware that there are leaflets available that specifically provide advice on how to wear seat belts during pregnancy?
Yes
No

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Air Bag

A1) Which air bags does the car have?
driver
driver and passenger
driver and side
driver and passenger and side
don't know
none

A2) Does the air bag where you sit have an on/off switch?
Yes
No
don't know

A3) In your opinion, might an air bag be a risk to the fetus or pregnant woman if it is activated during an accident?
Yes
No
don't know

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Comfort

C1) Approximately how far is your bump from the steering wheel? distancenearly touching1" or 3cm2" or 5cm3" or 8cm4" or 10cm6" or 15cm8" or 20cm10" or 25cmmore

C2) Is there enough legroom for you in the car when you sit:

in the driver's seat	Yes	No	don't know
in the front passenger's seat	Yes	No	don't know
in the rear passenger's seat	Yes	No	don't know

C3) What problems do you have with the car seat cushions?
too hard
too soft
there is not enough back support
too high under knees
there is no problem
other


C4) Please describe any other problems you have with comfort in the car

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Boot/Trunk

Remember that you are comparing your pregnancy to when you are not pregnant.

B1) What problems do you have with using the boot/trunk?
the edge is too high so I can't lift items in
the edge is too high so I can't lift items out
my bump gets in the way so I can't reach far enough into the boot/trunk
I can't reach up high enough to shut the boot/trunk
there is no problem
other

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Head Restraint

H1) What problems do you have with using the head restraint?
I can't adjust the height properly
I can't get it close enough to my head
it gets in the way
it blocks the view out of the rear view mirror
there is no problem
other


H2) How is your head restraint positioned?

	don't know		other

H3) Have you received any advice about how to position your head restraint?
Yes
No
If yes, where was the advice from?

What exactly was the advice?

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Physical Changes in Pregnancy

P1) Which of these general or longer lasting physical changes due to pregnancy are you experiencing? And how does each affect your driving and car travel in general?

	no	yes, but it doesn't affect my driving	yes, and it makes me uncomfortable	yes, and it makes me distracted	yes, and it makes me avoid car travel
stomach pain
hip pain
baby's head in pelvis
pelvic pain
back pain
sore joints
haemorrhoids (piles)
oedema (swelling)
varicose veins
other

P2) Which of these physical changes are you experiencing, and how does it affect your driving and car travel? These occur more suddenly, and you don't feel it all the time.

	no	yes, but it doesn't affect my driving	yes, and it makes my driving unpredictable	yes, and it makes me distracted	yes, and it makes me avoid car travel
leg cramp
heartburn
sickness
itchy skin
need to urinate
other

P3) In which ways is your movement affected during your pregnancy?

	no	yes, but it doesn't affect my driving	yes, and it slows my responses	yes, and it makes me distracted	yes, and it makes me avoid car travel
breathless
exhaustion
slower movements
limited bending
limited reach
other

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Emotions in Pregnancy

E1) What feelings are you experiencing during your pregnancy, and how do they affect your driving and car travel?

	no	yes, but it doesn't affect my driving	yes, and it makes me more alert	yes, and it makes me distracted	yes, and it makes me avoid car travel
pleasure/pride
irritable
oversensitive/tearful
panic/anxiety
fear
depression/feeling down
excitement
other

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Do you have anything you would like to add? Please comment on any problems that you have with car travel during your pregnancy, compared to when you are not pregnant.

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Please provide your email address

We would like to follow the changes over the progress of your pregnancy. To do this, we would like to ask you to complete the questionnaire again in your next trimester, or near the end of your pregnancy.
We may wish to contact you with further questions or information regarding your answers, or the questionnaire results. Please tick the options below to tell us how best to contact you.

	Please email me to remind me to answer the questionnaire again later in my pregnancy.
	I live near Loughborough (UK) and would like to join the study. Please contact me to arrange an appointment for an interview and measurements.
	Please contact me with information about the results of the study.
	Please do not contact me.

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Thank you for your time and co-operation.

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