| AM
I A SAFE DRIVER?
Check
the box if the statement applies to you.
o
I get lost while driving.
o My friends & family members say they are
worried about my driving.
o Other cars seem to appear out of nowhere.
o I have trouble seeing signs in time to respond
to them.
o Other drivers drive too fast.
o Other drivers often honk at me.
o Driving stresses me out.
o After driving, I feel tired.
o I have more “near misses” lately.
o Busy intersections bother me.
o Left-hand turns make me nervous.
o The glare from oncoming headlights bothers me.
o My medication makes me dizzy or drowsy.
o I have trouble turning the steering wheel.
o I have trouble pushing down on the gas pedal
or brake.
o I have trouble looking over my shoulder when
I back up.
o I have been stopped by the police for my driving
recently.
o People will no longer accept rides from me.
o I don’t like to drive at night.
o I have more trouble parking lately.
If
you have checked any of the boxes, your safety
may be at risk when you drive. Talk to your doctor
about ways to improve your safety when you drive.
Call us today with any questions or to schedule
a driving evaluation at (814)833-2301 or for more
information
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