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To examine correspondence among perceptions, abilities, and behaviors, 71 drivers (aged 63-93 years) completed the Driving Comfort Scales and measures of perceived abilities, driving frequency, and avoidance. A subgroup (n = 42) also completed vision, reaction time, mobility, executive skills, and visual attention tasks. Driving patterns were more strongly related to perceived comfort and abilities than to objective performance. Drivers with discrepancies between perceived abilities and actual abilities (indicating lack of awareness) were more confident and less likely to regulate their driving. Clinicians working with older drivers should assess their perceptions, particularly comfort level, in addition to driving-related abilities.