Driving Instructor Student Assessment

Student Driving Assessment

Please complete this questionnaire to help your driving instructor understand your background, anxieties, and learning style before your first driving lesson.

Prior Experience

How much driving have you done before? (0 - None, 5 - A lot)

None A lot

How well do you understand the basic controls of a car (steering wheel, pedals, mirrors, etc.)? (0 - No understanding, 5 - Complete understanding)

No understanding Complete understanding

How familiar are you with the rules of the road? (0 - Not familiar, 5 - Very familiar)

Not familiar Very familiar

Anxiety and Fears

How nervous are you about learning to drive? (0 - Not nervous, 5 - Extremely nervous)

Not nervous Extremely nervous

Rate your fear of the following situations:

Highway driving (0 - No fear, 5 - Extreme fear)

No fear Extreme fear

Parallel parking (0 - No fear, 5 - Extreme fear)

No fear Extreme fear

Night driving (0 - No fear, 5 - Extreme fear)

No fear Extreme fear

Driving in heavy traffic (0 - No fear, 5 - Extreme fear)

No fear Extreme fear

How well do you handle stressful situations? (0 - Poorly, 5 - Very well)

Poorly Very well

Learning Preferences

Which learning style do you prefer?

Visual (seeing demonstrations)

Auditory (verbal instructions)

Hands-on (learning by doing)

Combination of styles

Do you prefer to learn at a slow, steady pace or jump right in? (0 - Slow, steady pace, 5 - Jump right in)

Slow, steady pace Jump right in

Do you prefer to receive feedback immediately or after a longer period of practice? (0 - Immediate feedback, 5 - Feedback after longer practice)

Immediate feedback Feedback after longer practice

Motivation

How much is it your own personal desire to learn to drive? (0 - Not at all, 5 - Very much)

Not at all Very much

How much external pressure do you feel to learn to drive? (0 - No pressure, 5 - Extreme pressure)

No pressure Extreme pressure

What are your primary goals for learning to drive?

Medical Information

Are there any medical conditions that could impact your driving?

Yes

Do you wear corrective lenses for driving?

Yes

Student Assessment Results

Student Profile

Learning Style:

Learning Pace:

Feedback Preference:

Prior Experience: /5

Nervousness Level: /5

Stress Management: /5

Key Anxieties

Medical Information

Wears corrective lenses:

Medical conditions:

Driving Instructor Student Assessment

Student Driving Assessment

Prior Experience

Anxiety and Fears

Learning Preferences

Motivation

Medical Information

Student Assessment Results

Student Profile

Key Anxieties

Medical Information

Personal Goals

Student Profile Radar

Prior Experience & Knowledge

Anxiety & Fear Levels

Learning Preferences

Motivation Factors

Suggested Approach for First Two Hours

Focus Areas

Anxiety Management Strategies

Teaching Methods

Learning Pace

Feedback Method

Additional Considerations

Medical Considerations

Vision Considerations

Motivation Factors