SURVEY FORM

ROAD SAFETY IN MALAYSIA

SECTION A :
DEMOGRAPHIC OF THE SURVEY PARTICIPANT
1. Profession :
[ ] Students
[ ] Parents
[ ] Others.................................
2. Sex :
[
[

] Male
] Female

3. Race :
[
[
[
[

] Melayu
] Cina
] India
] Others.................................

4. Age (years) :
[ ] Under 20
[ ] 20-25
[ ] 26-30
[ ] Over 30
5. Type of vehicle :
[ ] Car
[ ] Motorcycles
[ ] Bus
[ ] Others.................................
6. Highest academic qualification :
[ ] PMR
[ ] SPM
[ ] STPM
[ ] Diploma
[ ] Bachelor
[ ] Master
[ ] PhD

SECTION B:
The questions in this activity are designed to stimulate discussion of road safety and to
identify the most vulnerable road users of road fatalities. Please answer the following
questions.
1. Do you know the purpose of road safety? yes or no? If yes specify??

2. What kind of vehicle do you currently drive?

3. How often do you drive (days in a week)?

4. Do you have a driver's licens?

5. In your opinion, what kind of road users is most vulnerable to fatal accidents ?

6. Based on the answers given, state why you choose the type of road users?

7. Apart from road user types in select, specify three types of vehicles or other road
users that you feel most at risk of a fatal accident?

8. Heavy trucks, motorcycles, passenger cars, pedal cyclists, buses, pedestrians. Set
vehicles or road users are given in the order you think is most at risk of a fatal
accident?

SECTION C:

This question about the causes of fatal accidents, especially to road users. Using the five
point likert scale below.
Strongly Disagree
1
1

Disagree

Neutral
2

Agree
4

The main cause of the accident caused the negligence

drivers of road users . Exmple the attitude of road users.
2 Majority of road users do not wear motorcycle helmets and not
complying with road.
3 Other causes of accidents are vehicle problems. Examples such as
a flat tire, do not modify the terms and many others.
4 In addition, due to the road conditions are not good
and perforated.
5 Weather conditions are also a cause of the accident to
heavy vehicles
6 Road users such as heavy vehicles and bus accidents are
not caused enough rest and sleep time driving.
7 Whether due to deficiency road law is the cause
of the accident?
8 Taking prohibited substances such as drugs, alcohol
while driving causes accidents
9 The use of mobile phones while driving one of the
causes of road accidents
10 Accidents caused by pedestrians attitude and pedestrians
do not use it right channel.

Strongly angree
5
1

4 5

4 5

4 5

4 5

4 5

4 5

4 5

4 5

4 5

4 5

SECTION D:
In your opinion, what steps can be taken to overcome the problem of accidents on the roads,
especially for road users ?
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