Evaluation Form

You can provide feedback about the programme or write about your experiences below. We would like to be able to include these comments on the website. Please indicate if you would prefer that this information is not included.

Sex:

 Male   Female

 
Age:   

 
Driver's licence:

 
Type of driving-related fear:

 
Duration of fear of driving:

 

Travelling status:

Before the programme

After the programme

 

 

Driving status:

Before the programme

After the programme

 

 

Reason for fear of driving:

 

About the Back in the Drivers Seat (BIDS) programme

How did you participate in the programme?   

 

Duration of programme.  

 

To what extent do you now have an understanding of your fear of driving?

 

To what extent has your driving confidence improved as a result of participating in the programme?  

 
To what extent have you applied skills from the programme to other areas of your life?   

Fear of Driving Questionnaire Scores

Transfer scores from your Driving Progress Summary (Exercise 12 in the Back in the Driver's Seat book) below.

Before the programme:

AP

AD

CP

CD

After the programme:

AP

AD

CP

CD

 

You may wish to provide feedback in the space below:

Your email address: (optional)