Form 7 Form 7 Risk Propensity Questionnaire

OMB Control No.: 2126-00XX

Expiration Date: MM/DD/YYYY

Public Burden Statement

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control number. The OMB Control number for this information collection is 2126-00XX. Public reporting for this collection of information is estimated to be approximately 7 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Samuel.White@dot.gov.

Risk Propensity Questionnaire

Please indicate the extent to which you agree or disagree with the following statements by putting a circle around the option you prefer. Please do not think too long before answering; usually your first inclination is also the best one.

1. Safety first.

totally disagree 1 2 3 4 5			6	7	8	9	totally agree
2. I do not take risks with my health.
totally disagree 1 2 3	4	5	6	7	8	9	totally agree
3. I prefer to avoid risks.
totally disagree 1 2 3	4	5	6	7	8	9	totally agree
4. I take risks regularly.
totally disagree 1 2 3	4	5	6	7	8	9	totally agree

5. I really dislike not knowing what is going to happen.

totally disagree 1 2 3 4 5	6	7	8	9	totally agree
6. I usually view risks as a challenge.
totally disagree 1 2 3 4 5	6	7	8	9	totally agree
7. I view myself as a . . .
risk avoider 1 2 3 4 5	6	7	8	9	risk seeker

Meertens, R. M., & Lion, R. (2008). Measuring an individual's tendency to take risks: the risk propensity scale. Journal of applied social psychology, 38(6), 1506-1520.