Study Sign-up

Interested in participating in a study at the Driving Simulation Laboratory? Fill out the following form and we will contact you.

 

 

Fields marked with (*) are required.

First Name*

Last Name*

Gender*

Age*

Do you have a valid U.S. driver's license?*

Phone*

e-mail*

Mailing Address* (Street, City, State, Zipcode)

Do you need corrected vision for driving?*

Have you ever had cataracts, or are you currently using intraocular contact lenses or contact lenses set up for monovision?*

Do you have normal or corrected-to-normal hearing?*

Do you experience motion sickness while driving?

Have you ever been diagnosed with epilepsy or experienced a seizure?

Are you in good general health?

Currently a Student?*

Special requests (days/times) for scheduling