Driving situation today Still driving without a current concern Already limits some trips Recent ticket, crash, near miss, or getting lost Family or caregiver is concerned Recently stopped or paused driving
Warning signs noticed No specific warning signs Small dents, honks, or uncertainty Several concerns over time Crash, near miss, ticket, or unsafe event Getting lost or confused on familiar routes
Health or medicine review Reviewed recently New medicines or side effects Vision or hearing concern Memory, balance, reaction, or movement concern Not reviewed yet
Current driving pattern Mostly local daytime trips Night, highway, or heavy-traffic trips Rural, long-distance, or limited-transit area Often drives spouse, friends, or family
Vehicle fit and safety features Vehicle feels comfortable and familiar Entry, mirrors, seat, pedals, or visibility are difficult New safety technology is confusing Not reviewed recently
Family conversation status Not started Started but tense or avoided Agreed to review safety together Written driving and transportation plan exists
Backup transportation status No backup plan yet Mostly family or friends Family plus community, rideshare, transit, or paid rides Driving already replaced by other options
Most important trip to protect Medical visits and pharmacy Groceries and errands Social, faith, volunteering, or adult day programs Driving another person who depends on them Several types of trips
Professional help to ask about Not sure where to start Doctor, pharmacist, eye doctor, or hearing provider Driver rehabilitation or driving evaluation State licensing or renewal questions Not needed right now
Local mobility resources Not contacted yet Started a list Names, numbers, costs, and backup rides are organized
Use this for planning, not for an emergency driving decision.
Do not enter license numbers, birth dates, addresses, medical diagnoses, account numbers, or private identity details. Use broad answers and keep personal records in a secure place.
This planner is educational and organizational only. It is not medical, legal, insurance, licensing, or transportation-safety advice. Ask qualified clinicians, driver rehabilitation specialists, local transportation programs, and state licensing offices for personal guidance.
Official references:
CDC older adult drivers ,
CDC MyMobility Plan ,
NIA safe driving for older adults ,
NHTSA older driver resources ,
Eldercare Locator .
