Provider Guidance on Teen Driver Safety Intervention checklist Question Title 1. During the visit counseling was delivered to: Parent/caregiver only Teen only Parent/caregiver and teen, delivered separately Parent/caregiver and teen, delivered at the same time Question Title 2. During the visit we discussed these topics: Seat belt use Alcohol/drug use while driving Distractions/cell phone use while driving Speeding and/reckless driving Driving with teen passengers Being a passenger with a teen driver Effects of inexperience on driving Driving while fatigued The need for caregivers to clarify consequences of violating driving limits Night driving State Graduated Driver Licensing law Selecting a safer car Driver education programs Parent role modeling Parent-teen written contract Question Title 3. During the visit we used: Fact sheets Brochures Parent-teen written contracts Posters Videos Computer-based/electronic Done