Adobe - PHV Survey 1 | QuestionPro

CONSENT TO PARTICIPATE IN RESEARCH
Prius and Plug-in Hybrid Vehicle Driver Study

Introduction
Susan Shaheen Ph.D., Tim Lipman, Ph.D, and Rachel Finson, researchers at the Transportation Sustainability Research Center (TSRC) at the University of California at Berkeley invite you to take part in the study Prius and Plug-in Hybrid Electric Vehicle Driver Evaluation.

You are being invited to participate in this study because you responded to the recruitment email sent out by your employer or building management, you meet all of the requirements to join the study and have filled out a Study Application and agreed to adhere to the vehicle restrictions outlined in the Study Application and the Driver Consent.

Purpose
The purpose of the study is to better understand average drivers' experiences with the two study vehicles, the gasoline-electric hybrid Prius and the plug-in hybrid vehicle. To do this we will gather information on participant perceptions, criticisms, comparisons, and possible enhancements regarding the vehicles. Driver data will also be collected automatically to better understand the energy and environmental impacts of the two study vehicles. Researchers will use all of this information to make recommendations on plans for future vehicle designs and early placement of PHVs with consumers.

Procedures
As a participant in this study you will be driving two study vehicles, a conventional gasoline-electric hybrid Prius, and a Plug-In Hybrid Vehicle (PHV). Permission and consent to conditions for driving the study vehicles is provided in the Motor Vehicle Consent and Agreement (“Driver Agreement”) between yourself and the University. The Driver Agreement states the conditions and vehicle use restrictions for driving the study vehicles and the insurance that is being provided.

While you are participating in the study, you will:

• Fill out a series of on-line surveys at two-week intervals (five surveys total), and;
• Participate in a group interview at the close of your participation in the study.

Operational data will be automatically, continually recorded on the car's computer system, and will be transmitted to Toyota and UCB project staff at periodic intervals. The data will be transmitted wirelessly and remotely and/or stored on an in-vehicle data card that will be downloaded by project staff immediately after you have completed the four-week driving period for each vehicle. This data will include vehicle speed, GPS, trip length, trip date and time, charging time and duration, battery system energy use, fuel use per trip, battery state of charge, and electric vs. engine operation.

Study Time: As a participant in this study, you will be asked to drive each vehicle for four weeks (eight weeks total). You will drive each vehicle instead of your personal vehicle as often as possible during your participation in the study. An on-line survey will be administered at two-week intervals to record your responses and experiences to each of the study vehicles. Each survey will take 10-15 minutes to complete. The group interview/focus group will be conducted at the close of your participation in the study and will take two hours.

Study Location: For any interaction regarding the study vehicles, research staff will meet you at your place of employment or residence where you initially received the recruitment email. You may take the surveys from any Internet connected computer. The group interview/focus group will be at a location convenient to your place of employment or residence where you initially received the recruitment email.

The manufacturer of the study vehicles is providing 24-hour roadside service. As noted in the Driver Agreement, only roadside service companies approved by the manufacturer may be used for the study vehicles. The study vehicles may not be driven outside the State of California.

Benefits
Although no personal benefits are anticipated from your participation in this research, the results of the study will provide researchers with an in-depth understanding of the two study vehicles. The results of this research may lead to new automobile design features and technologies.

Risks/Discomforts
• Some of the survey questions may make you feel uncomfortable. You do not need to respond to any survey questions that make you feel uncomfortable.
• Some of the group interview/focus group questions may make you feel uncomfortable. You do not need to respond to any questions asked during the group interview/focus group that make you feel uncomfortable.
• You can discontinue participation in the study at any time with no consequence to you. If you discontinue participation in the study, for any reason, you must promptly return the study vehicle that is in your possession at that time.
• You may find that plugging in a car for fuel makes you feel uncomfortable. If you feel uncomfortable you may request further training from the project staff. If you continue to feel uncomfortable you can discontinue participation in the study with no consequence to you.

Confidentiality
The surveys will be anonymous and your answers will not be connected to you in any way. Answers you provide during the group interview/focus group will be recorded to ensure accurate summaries of the group’s experience with the vehicles, but will not be connected to you in any way. The audio recording will be destroyed at the end of the study. The data from the gasoline receipts that you provide and the electricity bills will be recorded and maintained separately from your personal information. All data will be encrypted on hard drives using TrueCrypt.

All of the information that we obtain from you during the research will be kept confidential. We will store any audio recording, notes, and surveys in a locked file or a secure computer. Your name and other identifying information will not be used in any reports of the research. The audio recordings will be destroyed after they have been transcribed and the summaries are complete. After this research is completed, the transcribed audio data, notes and surveys may be saved for use in future research by University of California and other alternative fuel deployment researchers. However, the same measures to protect confidentiality described above will apply to future storage and use of the materials.

Every effort has been made to protect the anonymity of the research participants. One research staff member will manage the names and identities of the participants. Another research staff member will manage the data. Toyota will have access to the data, but will not have access to driver identification. Under extenuating circumstances (out of control of the research staff, such as under subpoena during a legal proceeding) the identity of the research participants could be revealed to Toyota or legal authorities and could be linked to the data.

Please note that the Driver Agreement form contains a number of specific requirements regarding confidentiality and disclosure of information related to your participation in the study. Be sure to read these detailed requirements in the Driver Agreement.

Compensation
Study participation involves considerable investment of time and possible inconvenience with no compensation offered. You will be responsible for fueling costs (gasoline and electricity) for the Prius and the PHV.

Treatment and Compensation for Injury
The manufacturer of the study vehicles is providing automobile liability insurance of three million dollars ($3,000,000) with combined single limit per occurrence for bodily injury and property damage with respect to the vehicles. However, as noted in the Driver Agreement, certain limitations apply: 1) coverage for subject injury will not extend to intentional conduct, willful misconduct or gross negligence on the subject's part; and 2) repair of vehicle damage must be covered by the subject if the damage is caused by gross negligence or intentional misconduct of the subject.

It is important that you promptly tell the researcher, Rachel Finson, if you believe that you have been injured because of taking part in this study. You can tell the researcher in person or call her at 510.725.7609.

If you are injured as a result of taking part in this study, University of California will provide necessary medical treatment. The costs of the treatment may be billed to your insurer just like other medical costs, or covered by the University of California or the study sponsor, Toyota Motor Corporation, depending upon a number of factors. The University and the study sponsor do not normally provide any other form of compensation for injury. For more information, call OPHS at (510) 642-7461.

Rights
Please remember that your participation in this research is voluntary. You may refuse to answer any questions and may stop taking part in the study at any time. However, if you decide not to fill out each survey at the two-week intervals, you will not be able to continue driving the study vehicles.

Questions
If you have any questions, you may telephone Rachel Finson, who is the Project Manager, at 510.725.7609 or contact her by e-mail at [email protected]. If you have any questions about your rights as a research participant, contact the office of the Committee for Protection of Human Subjects; University of California, Berkeley, 2150 Shattuck Avenue, Suite 313, Berkeley, CA 94704-5940; (510) 641-7461; email: [email protected].

NOTE

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Click below to acknowledge that you have read the information in the consent form and agree to participate in this research project.

I Agree

Basic Information

1. Please enter your respondent PIN ID:

2. Please list the vehicles that are currently driven by your household. Please list the vehicle that you drive most (out of all) as Vehicle #1.

	Make (e.g., Toyota)	Model (e.g., Corolla)	Year	Number of Engine Cylinders (4, 6, or 8)	Miles Driven per year	Miles per gallon (best estimate)
Vehicle # 1

Vehicle # 2

Vehicle # 3

Vehicle # 4

Vehicle # 5

3. Of these vehicles, please indicate which ones you own versus lease. For rows that do not apply, just leave them blank.

I do not own any vehicles currently

The most important consideration

A major consideration

A minor consideration

Not really a consideration

Once a week (4 x a month)

Twice a week (8 x a month)

Three times a week (12 x a month)

Four times a week (16 x a month)

8. Please list the top five location types (e.g., supermarket, movie theater, relative’s house, etc.) that you travel to by automobile during a typical month. In addition, please indicate the approximate miles of this location from your home. Start with the most frequently visited location.

	Location Type	Miles from Home (one way)	Visits per month
Location 1

Location 2

Location 3

Location 4

Location 5

9. Consider all of the trips that you make during a typical week. Please approximate the days per week that you take each of the travel modes listed below (as a passenger or driver).

Carpool with someone else

I do not have any children in my household.

Children have no impact on my travel patterns.

Children have a minor impact on my travel patterns.

Children have a moderate impact on my travel patterns.

Children have a major impact on my travel patterns.

I have had frequent experiences driving a Toyota Prius.

I have had frequent experiences driving other gasoline-electric hybrid vehicles, but not the Prius.

I have had only a few experiences driving a gasoline-electric hybrid vehicle.

I have only been a passenger in a gasoline-electric hybrid vehicle.

I have had no direct exposure to gasoline-electric hybrids.

13. Please indicate the importance of the following vehicle attributes to you when purchasing a car.

I expect to purchase a new vehicle.

I expect to purchase a used vehicle.

I expect to lease a new vehicle.

I expect to lease a used vehicle.

Compact (e.g., Yaris or Fiesta)

Small sedan (e.g., Corolla or Civic)

Mid-size sedan (e.g., Camry or Fusion)

Large sedan (e.g., Avalon, Taurus)

Luxury sedan (e.g., Lexus, Acura, Buick, Lincoln)

Sports car(e.g., Camaro, Charger, Mustang)

Small SUV (e.g., RAV4, Escape)

Midsize SUV (e.g., Highlander, Explorer)

Large SUV (e.g., Sequoia, Tahoe)

Luxury SUV (e.g., Lexus, Cadillac)

Pickup truck (e.g., Tacoma, Silverado)

Hatchback (e.g., Yaris, Fit)

Other, please specify

18. If you had no choice but to acquire a NEW vehicle tomorrow, which vehicles would you most likely consider? Please list the top three choices (make and model) that you would look at.


Vehicle #1:

Vehicle #2:

Vehicle #3:

The most important consideration

A major consideration

A minor consideration

Not really a consideration

20. We would like to get an idea of your expectations of the Prius in comparison to your personal vehicle. For the following vehicle attributes, please consider your normal vehicle as the benchmark. Assuming that your vehicle is rated as a “3” across all categories, please rate the traditional hybrid Prius relative to how you expect it to perform in contrast to your personal vehicle. Please select one response for each row below.

For these next items, please indicate how much you agree or disagree with the following statements:

The next few years or the present day

Improved energy security for the United States

Both equally important

Neither is important

Other, please specify:

32. Please consider the following domestic (non-military) national priorities. Please indicate whether you consider each to be a “very high”, “high”, “medium”, “low”, “very low” priority. You may also indicate that a specific issue should not be a priority.

Smart phone (e.g., iPhone, Andriod, Blackberry, etc.)

Rechargeable A, AA, AAA, or 9V batteries

Hands-free phone device

Navigational Device(Garmin, Magallen, or in vehicle, etc.)

3G or 4G internet access on a laptop

Tablet computer (such as iPad , Samsung Galaxy, Windows Tablet PC, etc.)

Personal Mac Computer

Personal PC (Windows) Computer

Personal Linux Computer

FasTrak (or some other electronic toll paying)

I am among the first people to purchase it.

I wait to read a review of it and then buy it if the review is favorable.

I wait for a friend or colleague to buy it and then buy it if they like it.

I buy it if/when it becomes popular with the general public.

I rarely purchase new technologies before they become well established.

Yes, I knew what these vehicles were

Yes, I have heard of these vehicles, but did not know what they were

No, I did not know what these vehicles were prior to this study.

46. For this question, we would like you to consider a hypothetical after-market device that could be added to your vehicle. This device would improve your vehicle’s fuel efficiency by 20%.

Consider what you might pay for this device. At each cost listed in the table below, please indicate the degree to which you would opt for purchasing the device to add to your vehicle. The costs listed below would include the cost of the device and the cost of installation (total costs). It does not account for the gasoline savings.

47. Now consider the same question with a device that would increase your vehicle’s fuel efficiency by 40%.

49. In what year were you born?

Graduated high school

Associate’s degree

Master’s or law degree (MS, MA, MBA, JD, RN)

Doctorate (MD, PhD, EdD, etc.)

Other, please specify:

Middle-Eastern or Arab

Native American or Alaskan Native

Hawaiian or Pacific Islander

Other, please specify:

Cross Street #1:

Cross Street #2:

City:

Decline to Respond (please mark with X)

Cross Street #1:

Cross Street #2:

City:

Decline to Respond (please mark with X)

0-5

6-15

16-18

19-23

24-44

45-64

65-74

75-84

85 or older

$100,000 to $149,999

$150,000 to $199,999

Thank you for taking this survey, please submit!