ASSESSMENT
OF THE EMOTIONAL STATUS OF DRIVERS IN EDO STATE
“RESEARCH QUESTIONNAIRE”
This questionnaire
is design to derive data pertinent to my research on the assessment of the
emotional status of Edo state drivers. This research questionnaire aims at
gathering information about the emotional status of Edo state drivers and
possibly how it affects them while on the road, there-fore it is expedient that
valid responses or information be filled as it will help facilitate my research
in assessing the emotional status of Edo state drivers.
All data derived from this questionnaire will be considered confidential; there-fore it’s advised that respondents should input relevant and germane data. Please tick [ ] yes/no or specify others where necessary.
BASIC DATA {SECTION A}
1. Age:
18-25 [ ] 25-30 [ ] 30-35 [ ] 35-40 [ ] 40-45 [ ]
above 45[ ]
2.
Gender/sex: male [ ] female [ ]
3.
Qualification: SSCE/GCE [ ] OND/HND
[ ] BSC [ ] MSC/MA
[
] PHD [ ]
4. Marital
status: single [ ] married [ ] divorced [ ]
PERSONAL DATA {SECTION B}
Answer question 5-8 if married
5. Family
type: monogamy [ ] polygamy
[ ]
6.
Family size: 2-4 [ ] 4-6 [ ] 6-8 [
] above 8 [ ]
Others please specify _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _
7.
How often do you spend leisure time with your
family? Everyday [ ] Once a week [ ]
Once a month [ ] Others please specify _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _
8.
Does the state or status of your family affect
you emotionally? Yes [
] no [ ]
9.
How many hours do you sleep per day? Below
3hours [ ] 3-5hours[ ]
5-8hours [ ] above 8hours [ ]
10. On an average how many hours do you drive in a
day? Below 4hours[ ] Above 4hours [ ]
Can not specify [ ]
11.
How will you describe your work? stressful [ ]
not stressful [ ]
12.
Monthly income: below 20,000 [ ] 20,000-40,000
[
] above 40,000 [ ]
13.
Do you consider your income as sufficient for
you and your family? Yes [ ]
no [ ]
SECTION
C [Field Data]
14.
Do you take alcohol? Yes [ ] No
[
]
Answer
question 15-18 if yes
15.
Why do you take alcohol? For pleasure [ ]
For health reasons [ ] To calm my emotional turmoil [ ] Others please specify _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _
16.
Does it affect you after in-take? Yes [ ] No [
]
17.
How do you feel after taking alcohol?
Satisfied/relaxed [ ] Dissatisfied/disturbed [ ]
Others please specify_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _
18.
With this, do you agree that alcohol affects
your emotional pattern? Yes [ ]
No [ ]
SECTION
D
19.
Do you have any health challenge? Yes [ ]
No [ ]
Answer
question 20-21 if yes
20.
Does the state of your health make you lose
focus or ponder? Yes [ ] No [
]
21.
How has your health affected you emotionally?
Please specify _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _
22.
How do feel when you drive? Relaxed [ ] disturbed
[ ]
Answer
question 23 if disturbed
23.
Why do you feel disturbed? Family needs [ ] Expenses [ ] health issues [ ] Others please specify _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _
24.
Do you agree that health challenges can possibly
affect emotions? Yes [ ]
No[ ]
25.
Do you agree that the family status of an
individual could affect his/her emotions? Yes [ ]
No [ ]
Please note
that all data gathered with this questionnaire is consider useful to the
assessment of the emotional status of Edo state drivers therefore it is advised
that the respondent to this questionnaire should input data that are concise
and true.
Thank you.
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