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Several studies have shown that the perception of horizontal curves can be influenced by an overlapping vertical alignment. A previous two-phase study investigated the hypothesis that a horizontal curve appears flatter when overlapping with a vertical sag curve and sharper when overlapping with a vertical crest curve. The study concluded that the hypothesis was valid. The study also developed several statistical models to estimate the perceived radius of horizontal curves in a combined alignment. This study extends the earlier work by investigating the effect of additional geometric parameters on the perception. The parameters examined include the presence of spiral curves, the length of the spirals, and the position of the vertical curve midpoint relative to the horizontal curve. It was found that (1) driver misperception of the horizontal curvature increases as the radius of the horizontal curve increases, (2) the presence of a spiral curve affects driver perception of the horizontal curvature in the case of crest combination only, (3) the length of the spiral curve has no effect on the perception whether on crest or sag combinations, and (4) while the effect of the position of the vertical curve midpoint relative to the horizontal curve is not statistically significant, it seems that the perception problem appears to diminish as the positive offsets increases. [ABSTRACT FROM AUTHOR]