AgDARE - Agricultural Disability Awareness and Risk Education

Spinal Cord Injury - Narrative Simulation

Answer Sheet

As you read the problem booklet, circle your answer to each question on this answer sheet. Please don't write in the problem booklet. That way the problem booklets can be reused.

Circle a T or F in front of each answer number that appears in the problem booklet.

Question A	Question B	Question C	Question D	Question E
T   F   1.	T   F   6.	T   F   11.	T   F   17.	T   F   21.
T   F   2.	T   F   7.	T   F   12.	T   F   18.	T   F   22.
T   F   3.	T   F   8.	T   F   13.	T   F   19.	T   F   23.
T   F   4.	T   F   9.	T   F   14.	T   F   20.	T   F   24.
T   F   5.	T   F   10.	T   F   15.
		T   F   16.

Questionnaire

1) Name of exercise: What Happened to Bob

2) Your age? ______

3) Your sex? ____ M ____ F

4) Do you drive a farm tractor? ____ Yes ____ No

5) If "Yes" to item #4, about how many days a month do you drive a farm tractor? _______ days a month

6) a. Do you work on a farm? ____ Yes ____ No
    b. Size of farm (acres) ______

7) Does the tractor you drive most often have a roll over protective structure (ROPS)?
____ Yes ____ No

8) Does the tractor in item #7 have a seat belt? ____ Yes ____ No

9) Does the tractor you drive most often have a cab? ____ Yes ____ No

10) Have you ever been involved in a tractor overturn or roll over? ____ Yes ____ No

11) Out of every ten times you drive a tractor, how many times do you wear a seat belt?
(circle one number )
Never   0   1   2   3   4   5   6   7   8   9   10   Always

12) Out of every ten times you drive a tractor, how many times is the tractor equipped with a ROPS? (circle one number )
Never   0   1   2   3   4   5   6   7   8   9   10   Always

Now think about the story you just finished. Circle the number that tells how much you agree or disagree with the following statements.

Statement

Strongly Disagree

Strongly Agree

1)	This story is realistic.	1	2	3	4	5
2)	I enjoyed working through the story.	1	2	3	4	5
3)	The written directions were easy to follow.	1	2	3	4	5
4)	The story was easy to read.	1	2	3	4	5
5)	The story took too long to complete.	1	2	3	4	5
6)	Prior to working through this story, I had thought about the consequences of a spinal cord injury.	1	2	3	4	5
7)	Working through this story has convinced me not to take safety shorts cuts when working with farm machinery	1	2	3	4	5
8)	Working through this story reminded me of ways to prevent injuries from a tractor roll-over.	1	2	3	4	5
9)	Until I read this story I only thought about dying from an injury, not having a permanent disability.	1	2	3	4	5
10)	Working through the story will help me make better judgments about safety when doing farm work.	1	2	3	4	5
11)	What I learned in the story will help me to prevent injuries on the farm to myself and others.	1	2	3	4	5
12)	The questions and answers were well written.	1	2	3	4	5
13)	The story will encourage me to discuss with my family ways to make a farm safer.	1	2	3	4	5
14)	Working through the story helps me to understand the impact an injury may have on my life.	1	2	3	4	5
15)	Working through this story helps me to understand how a disability can affect the lives of others.	1	2	3	4	5
16)	Working through this story helps me to understand how an injury may cause a disability I have to live with the rest of my life.	1	2	3	4	5
17)	Working through this story taught me that nothing substitutes for a seatbelt and a ROPS when preventing injury from a tractor roll over.	1	2	3	4	5
18)	Working through this story taught me that a disability may interfere or change life goals.	1	2	3	4	5
19)	The pictures were easy to understand.	1	2	3	4	5

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