Am I a Safe Driver?

 Check the box if the statement applies to you.

  I get lost while driving.

  My friends or family members say they are worried about my driving.

  Other cars seem to appear from nowhere.

  I have trouble finding and reading signs in time to respond to them.

  Other drivers drive too fast.

  Other drivers often honk at me.

  Driving stresses me out.

  After driving, I feel tired.

  I feel sleepy when I drive.

  I have had more "gnear-misses"h lately.

  Busy intersections bother me.

  Left-hand turns make me nervous.

  The glare from oncoming headlights bothers me.

  My medication makes me dizzy or drowsy.

  I have trouble turning the steering wheel.

  I have trouble pushing down the foot pedal.

  I have trouble looking over my shoulder when I back up.

  I have been stopped by the police for my driving.

  People no longer will accept rides from me.

  I have difficulty backing up.

  I have had accidents that were my fault in the past year.

  I am too cautious when driving.

  I sometimes forget to use my mirrors or signals.

  I sometimes forget to check for oncoming traffic.

  I have more trouble parking lately.