Pass Plus Scheme Evaluation

1. Driving Experience before undertaking Pass Plus

Thank you for taking the time to complete this evaluation form...

Your answers will give us vital information that will enable us to assess the success of Pass Plus in Highland.

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* 1. Personal Details

Unique Reference Number (Voucher): (If known)

Name: *

Address 1:

Address 2:

City/Town:

Post Code:

Telephone Number:

E-mail Address:

Date of Birth:

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* 2. Date Passed Driving Test

Date

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* 3. Gender?

Male

Female

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* 4. Number of hours practice taken with Driving School

Number of hours

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* 5. Number of hours practice taken with friends/family

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* 6. How many times did it take you to pass your driving test?

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* 7. Do you have access to a vehicle?

Your own

Your parents/carers

Work vehicle

Other

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* 8. What has caused you the most difficulty since passing your test? (Please tick all that apply)

Overtaking

Night Driving

Motorway/dual carriageway driving

Nearly crashing into the rear of a vehicle

Approaching corners/bends too fast

Severe bad weather driving

Manoeuvering (reversing/parking)

Roundabouts

Other (please specify)