Realism Survey

Attachment 6

Realism Survey

OMB Control #: 0925-xxxx Expiration Date: mm/dd/yyyy

Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx). Do not return the completed form to this address.

Study: MSD

Participant: _________

Visit: _______

Date: ________

REALISM SURVEY

For each of the following items, circle the number that best indicates how closely the simulator resembles an actual car in terms of appearance, sound, and response. If an item is not applicable, circle NA.

	General Driving	Not at all realistic						Completely Realistic
1	Response of the seat adjustment levers	0	1	2	3	4	5	6	NA
2	Response of the mirror adjustment levers	0	1	2	3	4	5	6	NA
3	Response of the door locks and handles	0	1	2	3	4	5	6	NA
4	Response of the fans	0	1	2	3	4	5	6	NA
5	Response of the gear shift	0	1	2	3	4	5	6	NA
6	Response of the brake pedal	0	1	2	3	4	5	6	NA
7	Response of accelerator pedal	0	1	2	3	4	5	6	NA
8	Response of the speedometer	0	1	2	3	4	5	6	NA
9	Response of the steering wheel while driving straight	0	1	2	3	4	5	6	NA
10	Response of the steering wheel while driving on curves	0	1	2	3	4	5	6	NA
11	Feel when accelerating	0	1	2	3	4	5	6	NA
12	Feel when braking	0	1	2	3	4	5	6	NA
13	Ability to read road and warning signs	0	1	2	3	4	5	6	NA
14	Appearance of car interior	0	1	2	3	4	5	6	NA
15	Appearance of signs	0	1	2	3	4	5	6	NA
16	Appearance of roads and road markings	0	1	2	3	4	5	6	NA
17	Appearance of urban scenery	0	1	2	3	4	5	6	NA
18	Appearance of rural scenery	0	1	2	3	4	5	6	NA
19	Appearance of freeway scenery	0	1	2	3	4	5	6	NA
20	Appearance of intersections	0	1	2	3	4	5	6	NA
21	Appearance of headlights	0	1	2	3	4	5	6	NA
22	Appearance of gravel road	0	1	2	3	4	5	6	NA
23	Appearance of other vehicles	0	1	2	3	4	5	6	NA
24	Appearance of rear-view mirror image	0	1	2	3	4	5	6	NA
25	Sound of the car	0	1	2	3	4	5	6	NA
26	Sound of other vehicles	0	1	2	3	4	5	6	NA
27	Overall feel of the car when driving	0	1	2	3	4	5	6	NA
28	Overall similarity to real driving	0	1	2	3	4	5	6	NA
29	Overall Appearance of driving scenes	0	1	2	3	4	5	6	NA

	Situational Driving	Not at all realistic						Completely Realistic
30	Feel of driving straight while going 25 mph	0	1	2	3	4	5	6	NA
31	Feel of driving straight while going 35 mph	0	1	2	3	4	5	6	NA
32	Feel of driving straight while going 55 mph	0	1	2	3	4	5	6	NA
33	Feel of driving straight while going 65 mph	0	1	2	3	4	5	6	NA
34	Feel of driving on a curved road while going 25 mph	0	1	2	3	4	5	6	NA
35	Feel of driving on a curved road while going 55 mph	0	1	2	3	4	5	6	NA
36	Feel of driving on a curved road while going 65 mph	0	1	2	3	4	5	6	NA
37	Feel of accelerating from a stopped position	0	1	2	3	4	5	6	NA
38	Feel of braking to a stop	0	1	2	3	4	5	6	NA
39	Performing a 90 degree turn to the left while going 25 mph	0	1	2	3	4	5	6	NA
40	Performing a 90 degree turn to the right from a stopped position	0	1	2	3	4	5	6	NA
41	Feel of driving on the freeway	0	1	2	3	4	5	6	NA
42	Feel of changing lanes on the freeway	0	1	2	3	4	5	6	NA
43	Feel of driving on a freeway on/exit ramp	0	1	2	3	4	5	6	NA
44	Feel of driving on gravel road	0	1	2	3	4	5	6	NA
45	Ability to stop the vehicle	0	1	2	3	4	5	6	NA
46	Ability to respond to other vehicles	0	1	2	3	4	5	6	NA
47	Ability to keep straight in your lane	0	1	2	3	4	5	6	NA
48	Ability to respond at intersections	0	1	2	3	4	5	6	NA

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